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General NPI Number Information
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NPI Number | 1154443133
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Entity Type | Individual
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Provider Name | ROSA MERCADO OTR
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 265 AVE WINSTON CHURCHILL EL SENORIAL
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City | RIO PIEDRAS
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State | PR
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Zip | 00926-6604
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Country | US
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Telephone | 787-649-5374
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Fax |
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Provider Business Mailing Address
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Address Line | OQ2 CALLE 520 URB. COUNTRY CLUB
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City | CAROLINA
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State | PR
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Zip | 00982-1916
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Country | US
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Telephone | 787-649-5374
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 421
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License Number State | PR
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