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General NPI Number Information
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NPI Number | 1487601183
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Entity Type | Individual
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Provider Name | EDNA GANACIAS-ACUNA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 133 ROUTE 3
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City | DEDEDO
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State | GU
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Zip | 96929-6911
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Country | US
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Telephone | 671-645-5500
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Fax | 671-645-5549
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Provider Business Mailing Address
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Address Line | 133 ROUTE 3
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City | DEDEDO
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State | GU
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Zip | 96929-6911
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Country | US
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Telephone | 671-645-5500
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Fax | 671-645-5549
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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 | M-1751
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License Number State | GU
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | M-1751
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | E3693
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | M-1751
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License Number State | GU
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Taxonomy #5
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | M-1751
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License Number State | GU
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