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General NPI Number Information
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NPI Number | 1962262782
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Entity Type | Individual
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Provider Name | GABRIELA I MERCADO ROJAS RDN,LND
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Gender | Female
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 17 CALLE DR CUETO
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City | UTUADO
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State | PR
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Zip | 00641-2910
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Country | US
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Telephone | 787-242-2835
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Fax |
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Provider Business Mailing Address
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Address Line | 77 CALLE ZIRCONIA
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City | ISABELA
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State | PR
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Zip | 00662-2378
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Country | US
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Telephone |
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 2251
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86151512
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License Number State | PR
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