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General NPI Number Information
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NPI Number | 1487373031
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Entity Type | Organization
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Legal Business Name | ROWENA C. MERCADO MD, PLLC
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 4545 SAND POINT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98105-3926
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Country | US
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Telephone | 617-645-1703
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Fax |
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Provider Business Mailing Address
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Address Line | 8350 W GRANDRIDGE BLVD STE 200
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City | KENNEWICK
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State | WA
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Zip | 99336-1678
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Country | US
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Telephone | 509-433-7747
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROWENA MERCADO
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Credential | MD
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Telephone | 509-433-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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