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General NPI Number Information
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NPI Number | 1073972550
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Entity Type | Organization
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Legal Business Name | MERCY MEDICAL CENTER HOME HEALTH & HOSPICE LLC
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 4369 WHIPPLE AVE NW
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City | CANTON
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State | OH
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Zip | 44718-2643
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Country | US
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Telephone | 234-203-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 4369 WHIPPLE AVE NW
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City | CANTON
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State | OH
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Zip | 44718-2643
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Country | US
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Telephone | 234-203-3223
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Fax |
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Authorized Official
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Title or Position | SR VP FINANCE / CFO
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Name | MR. DAVID K STEWART
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Credential |
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Telephone | 330-489-1131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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