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General NPI Number Information
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NPI Number | 1548420391
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Entity Type | Individual
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Provider Name | JOSELYN MERCADO-ABADIE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 620 JOHN PAUL JONES CIR
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2111
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Country | US
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Telephone | 757-953-5744
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Fax |
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Provider Business Mailing Address
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Address Line | 2024 FERGUSON LOOP
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4462
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 54709-20
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License Number State | WI
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