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General NPI Number Information
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NPI Number | 1790929172
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Entity Type | Individual
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Provider Name | MARGARITA MERCADO MEDINA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 9212 18TH AVE SW
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City | SEATTLE
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State | WA
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Zip | 98106-2723
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Country | US
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Telephone | 718-496-3126
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Fax |
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Provider Business Mailing Address
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Address Line | 9212 18TH AVE SW UNIT B
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City | SEATTLE
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State | WA
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Zip | 98106-2723
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Country | US
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Telephone | 718-496-3126
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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 | 252334
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD61169253
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0060465
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0060465
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD61169253
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD60278741
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License Number State | WA
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