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General NPI Number Information
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NPI Number | 1881509438
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Entity Type | Individual
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Provider Name | MERYLYN ACOSTA DPT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 279 FERRY ST
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City | NEWARK
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State | NJ
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Zip | 07105-3400
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Country | US
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Telephone | 973-491-5072
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 W 9TH ST
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City | BROOKLYN
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State | NY
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Zip | 11223-1237
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Country | US
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Telephone | 347-845-3198
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4QA02439800
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License Number State | NJ
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