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General NPI Number Information
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NPI Number | 1982738035
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Entity Type | Organization
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Legal Business Name | NAIDA MERCADO
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 10/28/2013
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Provider Practice Location Address
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Address Line | CALLE FRANCISCO M QUINONES 23
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City | SABANA GRANDE
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State | PR
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Zip | 00637-1942
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Country | US
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Telephone | 787-873-2721
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Fax | 787-873-2557
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Provider Business Mailing Address
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Address Line | CALLE FRANCISCO M QUINONES 23
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City | SABANA GRANDE
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State | PR
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Zip | 00637-1942
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Country | US
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Telephone | 787-873-2721
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Fax | 787-873-2557
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. NAIDA MERCADO
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Credential | M.T.
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Telephone | 787-873-2721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 680
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License Number State | PR
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