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General NPI Number Information
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NPI Number | 1073922209
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Entity Type | Individual
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Provider Name | MICHELLE ACOSTA DPAS, PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 200 LOTHROP ST STE B445.2
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-647-3685
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Fax | 412-647-0989
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Provider Business Mailing Address
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Address Line | 200 LOTHROP ST STE B445.2
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-647-3685
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 13598623-1206
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 017813
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA063482
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License Number State | PA
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