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General NPI Number Information
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NPI Number | 1871972463
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Entity Type | Organization
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Legal Business Name | RAY MERCADO DO PC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 1931 WILLIAMSBRIDGE RD LOWER LEVEL
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City | BRONX
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State | NY
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Zip | 10461-1632
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Country | US
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Telephone | 347-281-8000
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Fax | 347-281-8186
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Provider Business Mailing Address
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Address Line | 1931 WILLIAMSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10461-1632
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Country | US
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Telephone | 347-281-8000
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Fax | 347-281-8186
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAY MERCADO
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Credential | DO
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Telephone | 347-281-8000
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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 | 201303
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License Number State | NY
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