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General NPI Number Information
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NPI Number | 1013503275
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Entity Type | Individual
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Provider Name | ALBERTO ACOSTA
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Gender | Male
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 2900 EXTERIOR ST STE 203
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City | BRONX
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State | NY
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Zip | 10463-7103
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Country | US
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Telephone | 347-509-9206
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Fax |
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Provider Business Mailing Address
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Address Line | 2248 BROADWAY # 1039
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City | NEW YORK
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State | NY
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Zip | 10024-5805
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Country | US
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Telephone | 332-255-8805
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LM23667
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 010525-01
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License Number State | NY
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