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General NPI Number Information
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NPI Number | 1396453957
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Entity Type | Individual
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Provider Name | CAROLINE MERCURE
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Gender | Female
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1220 LINCOLN WAY STE 101
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City | WHITE OAK
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State | PA
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Zip | 15131-1642
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Country | US
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Telephone | 412-678-8806
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Fax | 412-678-3780
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Provider Business Mailing Address
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Address Line | 509 N PENNSYLVANIA AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-1884
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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