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General NPI Number Information
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NPI Number | 1053542340
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Entity Type | Organization
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Legal Business Name | THE MERCY HOSPITAL INC
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 299 CAREW ST
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2301
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Country | US
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Telephone | 413-452-6377
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Fax | 413-452-6300
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Provider Business Mailing Address
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Address Line | 299 CAREW STREET
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City | SPRINGFIELD
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State | MA
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Zip | 01104
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Country | US
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Telephone | 413-452-6377
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Fax | 413-452-6300
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Authorized Official
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Title or Position | REGIONAL DIRECTOR OF REIMBURSEMENT
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Name | JAMES M HARRIS
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Credential |
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Telephone | 860-714-4396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | DS89680
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License Number State | MA
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