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General NPI Number Information
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NPI Number | 1548362726
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Entity Type | Individual
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Provider Name | DAVID D ACOSTA DDS
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1425 W SOUTHERN AVE #15
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City | TEMPE
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State | AZ
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Zip | 85282-4403
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Country | US
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Telephone | 480-303-0535
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Fax | 480-303-0536
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Provider Business Mailing Address
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Address Line | PO BOX 24599
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City | TEMPE
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State | AZ
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Zip | 85285-4599
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Country | US
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Telephone | 480-458-8191
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5235
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License Number State | AZ
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