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General NPI Number Information
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NPI Number | 1154725414
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Entity Type | Organization
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Legal Business Name | MERCY HOME HEALTH CARE INC
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 3538 NEBRASKA AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63118-3706
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Country | US
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Telephone | 612-323-1727
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Fax |
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Provider Business Mailing Address
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Address Line | 3408 SNELLING AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-2638
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Country | US
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Telephone | 612-323-1727
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMA HASSAN KHALIF
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Credential |
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Telephone | 612-323-1727
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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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