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General NPI Number Information
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NPI Number | 1396576419
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Entity Type | Individual
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Provider Name | KATIE ANN MERCER RDH
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Gender | Female
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Dates
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Enumeration Date | 08/10/2024
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1000 MERIDIAN BLVD STE 108
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City | FRANKLIN
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State | TN
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Zip | 37067-6345
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Country | US
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Telephone | 615-771-8809
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 PALOMAR CIR APT J1
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City | COLUMBIA
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State | TN
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Zip | 38401-1039
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Country | US
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Telephone | 615-600-9362
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 11204
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License Number State | TN
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