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General NPI Number Information
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NPI Number | 1396800447
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Entity Type | Organization
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Legal Business Name | ROLANDO ACEVEDO, M.D., P.A.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 10796 PINES BLVD SUITE 106
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3919
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Country | US
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Telephone | 954-443-5688
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Fax | 954-432-9882
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Provider Business Mailing Address
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Address Line | 10796 PINES BLVD SUITE 106
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3919
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Country | US
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Telephone | 954-443-5688
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Fax | 954-432-9882
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. ROLANDO ACEVEDO
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Credential | M.D.
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Telephone | 954-443-5688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0064850
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License Number State | FL
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