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General NPI Number Information
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NPI Number | 1124336573
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Entity Type | Organization
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Legal Business Name | MERSHON, INC
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 1910 NW MILITARY HWY
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City | SAN ANTONIO
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State | TX
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Zip | 78213-2128
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Country | US
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Telephone | 210-342-3878
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 NW MILITARY HWY
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City | SAN ANTONIO
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State | TX
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Zip | 78213-2128
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Country | US
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Telephone | 210-342-3878
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL W BAIRD
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Credential |
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Telephone | 210-342-3878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 013796
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License Number State | TX
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