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General NPI Number Information
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NPI Number | 1154433837
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Entity Type | Individual
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Provider Name | FRANK ANTHONY ACOSTA D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9275 SW 152ND ST STE 206
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-1774
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Country | US
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Telephone | 305-233-3922
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Fax | 305-233-2130
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Provider Business Mailing Address
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Address Line | 9275 SW 152ND ST STE 206
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-1774
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Country | US
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Telephone | 305-233-3922
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Fax | 305-233-2130
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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 | DN14715
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License Number State | FL
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