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NPI 1043359243

NPI 1043359243 : MERCY CARE INC : UMATILLA, FL

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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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