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General NPI Number Information
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NPI Number | 1992191159
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Entity Type | Individual
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Provider Name | LESLIE ANN ACOSTA NP
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Gender | Female
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 421 W MAIN ST
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City | FRANKFORT
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State | KY
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Zip | 40601-1815
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Country | US
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Telephone | 860-788-6404
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | MIDDLETOWN
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State | CT
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Zip | 06457-8095
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1143597
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN99733-NP-C
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3009365
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License Number State | KY
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