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General NPI Number Information
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NPI Number | 1801319454
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Entity Type | Individual
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Provider Name | ROCIO MERCADO M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 919 N REEDER AVE
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City | COVINA
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State | CA
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Zip | 91724-2126
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Country | US
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Telephone | 951-332-1377
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Fax |
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Provider Business Mailing Address
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Address Line | 919 N REEDER AVE
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City | COVINA
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State | CA
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Zip | 91724-2126
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Country | US
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Telephone | 951-332-1377
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT133859
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License Number State | CA
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