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General NPI Number Information
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NPI Number | 1093130072
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH PARTNERS
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 611 E MAIN ST
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City | HART
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State | MI
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Zip | 49420-1190
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Country | US
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Telephone | 231-873-5675
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Fax | 231-873-1825
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Provider Business Mailing Address
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Address Line | PO BOX 932988
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City | CLEVELAND
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State | OH
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Zip | 44193-0029
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Country | US
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Telephone | 800-494-5797
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE GRAND RAP
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Name | DANIEL GREEN
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Credential |
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Telephone | 616-685-6709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | KA005521
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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