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General NPI Number Information
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NPI Number | 1033697107
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Entity Type | Individual
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Provider Name | DR. EMILIO JOSE RODRIGUEZ ACOSTA
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Gender | Male
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 11620 SW 1ST ST
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City | PLANTATION
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State | FL
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Zip | 33325-2915
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Country | US
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Telephone | 754-610-4024
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Fax |
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Provider Business Mailing Address
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Address Line | 11620 SW 1ST ST
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City | PLANTATION
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State | FL
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Zip | 33325-2915
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Country | US
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Telephone | 754-610-4024
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN23713
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401416239
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License Number State | VA
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