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General NPI Number Information
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NPI Number | 1861770976
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Entity Type | Individual
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Provider Name | LIZA ACOSTA LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 12030 SW 129TH CT STE 211
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City | MIAMI
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State | FL
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Zip | 33186-4584
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Country | US
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Telephone | 561-716-6894
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 BEECH TREE CV
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City | MARYVILLE
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State | TN
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Zip | 37801-2562
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Country | US
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Telephone | 561-716-6894
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2543
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License Number State | FL
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