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General NPI Number Information
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NPI Number | 1780878116
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Entity Type | Individual
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Provider Name | RANDALL R MERCIER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 630 S BENNETT ST
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5920
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Country | US
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Telephone | 910-215-0873
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Fax | 910-295-1787
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Provider Business Mailing Address
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Address Line | PO BOX 9150
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City | PADUCAH
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State | KY
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Zip | 42002-9150
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Country | US
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Telephone | 270-744-9600
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Fax | 270-744-0834
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 26898
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License Number State | NC
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