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General NPI Number Information
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NPI Number | 1174587067
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Entity Type | Organization
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Legal Business Name | MERCY MEDICAL, A CORPORATION
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 374 GREENO RD S
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City | FAIRHOPE
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State | AL
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Zip | 36532-1916
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Country | US
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Telephone | 251-621-4431
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Fax | 251-621-4896
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Provider Business Mailing Address
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Address Line | PO BOX 1090
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City | DAPHNE
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State | AL
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Zip | 36526-1090
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO/EXECUTIVE DIRECTOR
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Name | NECIE BORRONI
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Credential |
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Telephone | 251-459-6454
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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 | 11712
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License Number State | AL
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