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General NPI Number Information
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NPI Number | 1396860813
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Entity Type | Individual
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Provider Name | MIRZA ACOSTA RN
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CARR 103 KM 9 HM 9 BUZON481
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-264-9588
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Fax | 787-849-0912
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Provider Business Mailing Address
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Address Line | CARR 103 KM 9 HM 9 BUZON481
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-264-9588
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Fax | 787-849-0912
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 22910
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License Number State | PR
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