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General NPI Number Information
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NPI Number | 1184379414
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH PARTNERS
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 72 S STATE ST
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City | SHELBY
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State | MI
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Zip | 49455-1228
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Country | US
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Telephone | 231-861-2156
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Fax |
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Provider Business Mailing Address
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Address Line | 20555 VICTOR PKWY
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City | LIVONIA
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State | MI
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Zip | 48152-7031
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Country | US
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Telephone | 734-343-3925
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Fax | 312-957-3997
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY EDWARD ALLORE
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Credential |
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Telephone | 231-728-4809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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