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General NPI Number Information
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NPI Number | 1124593751
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Entity Type | Organization
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Legal Business Name | ASISA HEALTH SERVICES CORP
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 900 W 49TH ST STE 406
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City | HIALEAH
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State | FL
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Zip | 33012-3489
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Country | US
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Telephone | 305-587-2231
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Fax | 305-713-1866
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Provider Business Mailing Address
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Address Line | 900 W 49TH ST STE 406
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City | HIALEAH
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State | FL
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Zip | 33012-3489
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Country | US
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Telephone | 305-587-2231
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Fax | 305-713-1866
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Authorized Official
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Title or Position | PRESIDENT
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Name | ESPERANZA ACOSTA
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Credential |
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Telephone | 786-803-9581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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