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General NPI Number Information
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NPI Number | 1457957532
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Entity Type | Individual
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Provider Name | CHRISTOPHER JESUS MERCADO APRN-PMHNP
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Gender | Male
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Dates
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Enumeration Date | 12/05/2020
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 101 ELLIOTT AVE W BAY AVE
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City | SEATTLE
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State | WA
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Zip | 98119-4236
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Country | US
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Telephone | 786-393-8319
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N HOWARD ST STE W
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City | SPOKANE
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State | WA
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Zip | 99201-0508
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Country | US
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Telephone | 786-393-8319
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11010486
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61372812
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 9425118
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License Number State | FL
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