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General NPI Number Information
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NPI Number | 1003135898
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Entity Type | Individual
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Provider Name | HAZEL ECHAVEZ MERCADO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 10975 E WHITE SAGE DR
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City | TUCSON
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State | AZ
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Zip | 85747-9664
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Country | US
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Telephone | 520-203-7531
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Fax | 520-437-0390
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Provider Business Mailing Address
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Address Line | 10975 E WHITE SAGE DR
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City | TUCSON
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State | AZ
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Zip | 85747-9664
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Country | US
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Telephone | 520-203-7531
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Fax | 520-437-0390
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3506
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License Number State | AZ
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