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General NPI Number Information
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NPI Number | 1043359243
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Entity Type | Organization
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Legal Business Name | MERCY CARE INC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 356 N CENTRAL AVE
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City | UMATILLA
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State | FL
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Zip | 32784-8649
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Country | US
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Telephone | 352-669-9009
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Fax | 353-669-9004
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Provider Business Mailing Address
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Address Line | 356 N CENTRAL AVE
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City | UMATILLA
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State | FL
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Zip | 32784-8649
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Country | US
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Telephone | 352-669-9009
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Fax | 353-669-9004
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH G RAUCH
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Credential | M.D.
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Telephone | 352-669-9009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME24732
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2079
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License Number State | FL
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