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General NPI Number Information
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NPI Number | 1023300159
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH PARTNERS
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Dates
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Enumeration Date | 05/09/2011
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Last Update Date | 05/09/2011
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Provider Practice Location Address
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Address Line | 1560 E SHERMAN BLVD
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City | MUSKEGON
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State | MI
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Zip | 49444-1867
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Country | US
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Telephone | 231-672-4886
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Fax |
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Provider Business Mailing Address
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Address Line | 1560 E SHERMAN BLVD
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City | MUSKEGON
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State | MI
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Zip | 49444-1867
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Country | US
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Telephone | 231-672-4886
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Fax | 231-672-6904
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Authorized Official
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Title or Position | DIRECTOR NETOWRK FINANCIAL SERVICES
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Name | MICHELLE LOHMAN
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Credential |
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Telephone | 231-727-4499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | MI
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