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General NPI Number Information
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NPI Number | 1124316310
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Entity Type | Individual
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Provider Name | ANGEL LUIS MERCADO LPC
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Gender | Male
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 8 CALLE DOLORES LOLITA NATAL APT 805
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City | MANATI
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State | PR
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Zip | 00674-9016
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Country | US
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Telephone | 787-974-2543
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CALLE DOLORES LOLITA NATAL APT 805
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City | MANATI
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State | PR
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Zip | 00674-9016
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Country | US
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Telephone | 787-974-2543
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0244
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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