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General NPI Number Information
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NPI Number | 1144019159
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Entity Type | Individual
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Provider Name | MIGUEL A LOMELI ACOSTA
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Gender | Male
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 200 E CHESTNUT ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1831
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Country | US
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Telephone | 502-629-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2604 KONA LN
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City | ANCHORAGE
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State | AK
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Zip | 99517-2147
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Country | US
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Telephone | 907-570-4739
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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