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General NPI Number Information
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NPI Number | 1831281518
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Entity Type | Individual
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Provider Name | DENISE MERCER O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 168 W RIDGE PIKE SUITE 202
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City | LIMERICK
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State | PA
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Zip | 19468-1778
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Country | US
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Telephone | 610-489-8786
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Fax | 610-489-6544
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Provider Business Mailing Address
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Address Line | 168 W RIDGE PIKE SUITE 202
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City | LIMERICK
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State | PA
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Zip | 19468-1778
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Country | US
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Telephone | 610-489-8786
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Fax | 610-489-6544
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001167
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License Number State | PA
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