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General NPI Number Information
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NPI Number | 1154321404
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL OF FRANCISCAN SISTERS
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 201 8TH AVE SE
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City | OELWEIN
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State | IA
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Zip | 50662-2447
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Country | US
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Telephone | 319-283-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E 10TH ST
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City | WACONIA
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State | MN
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Zip | 55387-4552
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Country | US
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Telephone | 952-442-9770
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Fax | 952-442-3630
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Authorized Official
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Title or Position | CFO
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Name | TIMOTHY HUBER
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Credential |
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Telephone | 319-272-7607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 105345
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License Number State | IA
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