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NPI 1720362262

NPI 1720362262 : CLAUDIA D ACOSTA PA-C : CORAL GABLES, FL

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General NPI Number Information
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    NPI Number           |    1720362262
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    Entity Type          |    Individual 
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    Provider Name        |    CLAUDIA D ACOSTA PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2011
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    Last Update Date     |    06/05/2025
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Provider Practice Location Address
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    Address Line         |    5101 SW 8TH STREET SUITE 200
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-2442
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    Country              |    US
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    Telephone            |    305-913-0666
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    Fax                  |    305-913-0663
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Provider Business Mailing Address
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    Address Line         |    5101 SW 8TH STREET SUITE 200
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-2442
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    Country              |    US
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    Telephone            |    305-359-5037
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    Fax                  |    786-509-5544
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA9106252
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    License Number State |    FL
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