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General NPI Number Information
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NPI Number | 1780351502
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Entity Type | Individual
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Provider Name | ADRYANNA MERCADO PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2021
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Last Update Date | 08/28/2021
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Provider Practice Location Address
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Address Line | 10720 W BELL RD
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City | SUN CITY
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State | AZ
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Zip | 85351-1073
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Country | US
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Telephone | 623-972-2124
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Fax |
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Provider Business Mailing Address
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Address Line | 7677 W PARADISE LN APT 1055
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City | PEORIA
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State | AZ
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Zip | 85382-4966
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Country | US
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Telephone | 623-806-3239
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S025317
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License Number State | AZ
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