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General NPI Number Information
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NPI Number | 1053553214
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Entity Type | Individual
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Provider Name | ALISA ANA ACOSTA MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 2401 S 31ST ST
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City | TEMPLE
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State | TX
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Zip | 76508-0001
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Country | US
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Telephone | 254-724-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 13311 HIGH STAR DR
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City | HOUSTON
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State | TX
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Zip | 77083-1907
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Country | US
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Telephone | 713-252-5443
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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 | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | L9983
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License Number State | TX
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