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Individual
DR. RAFAEL L MERCADO
Active
Individual
DR. RAFAEL L MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306173554
TYPE 2 BUSINESS NPI
TX
05
—
136341809
—
TX
01
—
1376774851
NPI
TX
05
—
180123502
—
TX
Enumeration date
10/13/2006
Last updated
10/08/2014
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