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General NPI Number Information
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NPI Number | 1073452306
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Entity Type | Organization
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Legal Business Name | MERCY MEDICAL CENTER
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 2112 MIDDLE COUNTRY RD # P100
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City | CENTEREACH
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State | NY
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Zip | 11720-3519
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Country | US
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Telephone | 631-468-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1000
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Country | US
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Telephone | 516-705-2910
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH MANOPELLA
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Credential |
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Telephone | 516-705-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail 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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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