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General NPI Number Information
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NPI Number | 1669176095
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Entity Type | Organization
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Legal Business Name | ACOSTA URGENT CARES
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 3065 E UNIVERSITY AVE STE B
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City | LAS CRUCES
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State | NM
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Zip | 88011-9106
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Country | US
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Telephone | 575-300-2710
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Fax | 575-800-7407
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Provider Business Mailing Address
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Address Line | 3065 E UNIVERSITY AVE STE B
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City | LAS CRUCES
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State | NM
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Zip | 88011-9106
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Country | US
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Telephone | 575-300-2710
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Fax | 575-800-7407
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN ACOSTA
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Credential |
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Telephone | 575-300-2710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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