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Individual
ANDREW ACOSTA
Active
Individual
ANDREW ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
043357938
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518996354
HIGH POINT TREATMENT CENTER
MA
Enumeration date
04/11/2016
Last updated
04/11/2016
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