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General NPI Number Information
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NPI Number | 1316846249
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Entity Type | Individual
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Provider Name | JOSEAN MERCADO LOPEZ
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Gender | Male
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 227 URBANIZACION TOSCANA
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-322-5349
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Fax |
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Provider Business Mailing Address
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Address Line | 716 ESTANCIAS DE MARIA ANTONIA
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City | GUANICA
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State | PR
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Zip | 00653
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | 5069114
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License Number State | PR
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