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General NPI Number Information
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NPI Number | 1821964842
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Entity Type | Individual
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Provider Name | ELIZABETH ACEVEDO
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 165 MILL ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-3592
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Country | US
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Telephone | 978-878-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 102 LEE ST
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City | WEST BOYLSTON
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State | MA
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Zip | 01583-1306
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Country | US
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Telephone | 201-936-3839
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State | MA
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