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General NPI Number Information
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NPI Number | 1649060468
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Entity Type | Individual
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Provider Name | TRINIDEE MERCADO
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 121 W PENNSYLVANIA AVE
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City | DELAND
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State | FL
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Zip | 32720-3429
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Country | US
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Telephone | 386-258-1618
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Fax |
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Provider Business Mailing Address
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Address Line | 16227 BRIDGEPARK DR
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City | LITHIA
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State | FL
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Zip | 33547-4875
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Country | US
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Telephone | 813-817-0899
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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