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General NPI Number Information
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NPI Number | 1952293862
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Entity Type | Individual
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Provider Name | ALEJANDRA ACOSTA
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 2999 OLYMPUS BLVD
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City | COPPELL
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State | TX
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Zip | 75019-0122
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Country | US
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Telephone | 469-900-9208
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Fax |
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Provider Business Mailing Address
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Address Line | 1084 PASEO DE SUERTE DR
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City | EL PASO
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State | TX
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Zip | 79928-2293
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Country | US
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Telephone | 915-630-3767
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2168900
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License Number State | TX
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