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General NPI Number Information
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NPI Number | 1962365577
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Entity Type | Individual
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Provider Name | MERCEDEZ RIOS
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1021 W NATIONAL AVE
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City | MILWAUKEE
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State | WI
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Zip | 53204-1347
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Country | US
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Telephone | 920-393-8320
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Fax | 844-440-2336
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Provider Business Mailing Address
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Address Line | 3910 MINERAL POINT RD
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City | MADISON
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State | WI
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Zip | 53705-5124
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Country | US
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Telephone | 920-393-8320
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Fax | 844-440-2336
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | WI
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