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General NPI Number Information
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NPI Number | 1851335723
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Entity Type | Individual
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Provider Name | MARIA M. MERCADO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 05/25/2025
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Provider Practice Location Address
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Address Line | 880 3RD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91911-1305
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Country | US
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Telephone | 619-205-4585
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Fax |
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Provider Business Mailing Address
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Address Line | MS 315010 PO BOX 3947
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City | SEATTLE
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State | WA
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Zip | 98124-3947
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Country | US
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Telephone | 425-467-3655
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Fax | 425-635-6388
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 0430844
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD60287498
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 202331
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 2004022179
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License Number State | MO
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