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General NPI Number Information
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NPI Number | 1942471784
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Entity Type | Individual
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Provider Name | MERCEDES MARIA LIVOTI WALPOLE DC, MSACN
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Gender | Female
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 10/06/2018
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Provider Practice Location Address
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Address Line | 4054 SAWYER RD
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City | SARASOTA
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State | FL
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Zip | 34233-1272
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Country | US
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Telephone | 651-209-6060
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Fax | 651-209-6063
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Provider Business Mailing Address
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Address Line | 1600 SPRUCE TREE CENTRE SUITE 306
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City | ST PAUL
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State | MN
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Zip | 55104
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Country | US
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Telephone | 651-209-6060
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Fax | 651-209-6063
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | MN 5003
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH-11553
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License Number State | FL
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