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General NPI Number Information
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NPI Number | 1053949990
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Entity Type | Individual
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Provider Name | LIANED PEREZ MERCADO MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 9710 HARROWGATE DR
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City | HOUSTON
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State | TX
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Zip | 77031-3117
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Country | US
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Telephone | 787-628-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E 210TH ST
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City | BRONX
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State | NY
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Zip | 10467-2401
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 105431
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | V0507
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License Number State | TX
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