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General NPI Number Information
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NPI Number | 1174823660
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL
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Dates
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Enumeration Date | 10/30/2010
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Last Update Date | 10/30/2010
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Provider Practice Location Address
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Address Line | 16900 N BAY RD APT 811
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4266
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Country | US
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Telephone | 954-588-1146
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Fax |
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Provider Business Mailing Address
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Address Line | 16900 N BAY RD APT 811
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4266
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Country | US
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Telephone | 954-588-1146
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Fax |
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Authorized Official
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Title or Position | ASSISTANT NURSE MANAGER
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Name | CHANCILENE COLAS
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Credential | ARNP
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Telephone | 305-285-2170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | ARNP 2899962
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License Number State | FL
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