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General NPI Number Information
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NPI Number | 1396966222
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Entity Type | Individual
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Provider Name | INGRID EMILIA ACOSTA MS
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11001 SW 76TH ST
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City | MIAMI
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State | FL
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Zip | 33173-2669
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Country | US
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Telephone | 305-598-2441
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Fax |
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Provider Business Mailing Address
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Address Line | 14343 SW 146TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-6794
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Country | US
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Telephone | 305-252-7594
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH6082
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License Number State | FL
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