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General NPI Number Information
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NPI Number | 1255038105
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Entity Type | Organization
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Legal Business Name | MERCARIK INC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 1391 IOWA AVE W
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City | FALCON HEIGHTS
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State | MN
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Zip | 55108-2122
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Country | US
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Telephone | 651-270-8871
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Fax |
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Provider Business Mailing Address
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Address Line | 1391 IOWA AVE W
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City | FALCON HEIGHTS
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State | MN
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Zip | 55108-2122
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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 | OWNER AND CEO
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Name | MATTHEW HANSEN
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Credential |
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Telephone | 651-270-8871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225CA2500X
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Taxonomy Name | Assistive Technology Supplier Rehabilitation Counselor
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License Number |
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License Number State |
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