In CRM Online, the New button does not appear in My Accounts. The user has Create permission on the Account.
The issue is caused by the CRM_MANAGED_ACCOUNT_TYPES Network Settings which points to a Veeva Message. If Network is not used and there is a decoupled Data Change Request (DCR), do not modify the Network custom setting section.
Be sure that the CRM_MANAGED_ACCOUNT_TYPES Veeva Message has a null value in the Text field.
CRM Help Documentation: Enabling Network by Account Record Type
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