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General NPI Number Information
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NPI Number | 1992768303
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Entity Type | Individual
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Provider Name | MICHEAL W ACOCELLA B.S., P.T.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 469 W PUTNAM AVE SUITE 202
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City | GREENWICH
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State | CT
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Zip | 06830-6060
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Country | US
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Telephone | 203-869-5546
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Fax | 203-629-4836
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Provider Business Mailing Address
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Address Line | 469 W PUTNAM AVE SUITE 202
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City | GREENWICH
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State | CT
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Zip | 06830-6060
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Country | US
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Telephone | 203-869-5546
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Fax | 203-629-4836
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 004700
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License Number State | CT
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