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General NPI Number Information
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NPI Number | 1386779486
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Entity Type | Individual
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Provider Name | DANIA ACEBO PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 9851 NW 58TH ST SUITE 125
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City | DORAL
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State | FL
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Zip | 33178-2716
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Country | US
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Telephone | 305-403-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 9925 NW 27TH TER
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City | DORAL
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State | FL
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Zip | 33172-1314
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Country | US
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Telephone | 305-333-5122
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9103152
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License Number State | FL
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