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General NPI Number Information
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NPI Number | 1174548853
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH SERVICES- IOWA CORP
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 910 N EISENHOWER AVE
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City | MASON CITY
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State | IA
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Zip | 50401-1525
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Country | US
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Telephone | 641-428-6444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1447
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City | MASON CITY
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State | IA
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Zip | 50402-1447
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Country | US
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Telephone | 641-428-6444
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Fax | 641-428-6458
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CONNIE MORRISON
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Credential |
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Telephone | 641-422-6182
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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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