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General NPI Number Information
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NPI Number | 1265457220
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Entity Type | Individual
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Provider Name | SARA H ACEVEDO M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 11333 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33174-1148
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Country | US
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Telephone | 305-553-5003
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Fax | 305-553-6156
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Provider Business Mailing Address
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Address Line | 16023 SW 43RD ST
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City | MIAMI
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State | FL
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Zip | 33185-3833
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Country | US
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Telephone | 305-553-5003
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Fax | 305-553-6156
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 90669
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License Number State | FL
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