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General NPI Number Information
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NPI Number | 1184695850
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Entity Type | Organization
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Legal Business Name | MERCY NORTH HOMECARE AND HOSPICE
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 324 MEADOWS DR SUITE A
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City | GRAYLING
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State | MI
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Zip | 49738-2015
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Country | US
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Telephone | 989-348-4380
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Fax | 989-348-0045
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Provider Business Mailing Address
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Address Line | PO BOX 9185
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City | FARMINGTON HILLS
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State | MI
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Zip | 48333-9185
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Country | US
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Telephone | 734-542-8213
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Fax | 734-542-8286
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Authorized Official
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Title or Position | DIRECTOR
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Name | DON MEIERANT
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Credential |
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Telephone | 989-348-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 203600
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License Number State | MI
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