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General NPI Number Information
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NPI Number | 1518358175
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Entity Type | Organization
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Legal Business Name | WILLIAM B. ACEVEDO, M.D., P.A.
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 726 W JEFFERSON ST
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City | BROOKSVILLE
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State | FL
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Zip | 34601-2530
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Country | US
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Telephone | 352-754-1253
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Fax | 352-754-1293
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Provider Business Mailing Address
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Address Line | 726 W JEFFERSON ST
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City | BROOKSVILLE
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State | FL
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Zip | 34601-2530
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Country | US
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Telephone | 352-754-1253
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Fax | 352-754-1293
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM B ACEVEDO
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Credential | M.D.
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Telephone | 352-754-1253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME81386
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License Number State | FL
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