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General NPI Number Information
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NPI Number | 1255877841
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Entity Type | Organization
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Legal Business Name | RAY MERCADO D.O.P.C
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 643 GREENWAY RD STE L
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City | BOONE
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State | NC
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Zip | 28607-4840
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Country | US
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Telephone | 828-265-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 643 GREENWAY RD STE L
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City | BOONE
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State | NC
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Zip | 28607-4840
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Country | US
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Telephone | 828-265-7078
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAY ANTHONY MERCADO
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Credential | D.O
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Telephone | 336-763-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 2015-02188
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License Number State | NC
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