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General NPI Number Information
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NPI Number | 1194908582
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Entity Type | Organization
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Legal Business Name | MERCI HOME CARE SERVICES
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Dates
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Enumeration Date | 12/09/2007
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Last Update Date | 12/09/2007
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Provider Practice Location Address
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Address Line | 1005 4TH AVE N
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City | COLUMBUS
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State | MS
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Zip | 39701-4653
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Country | US
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Telephone | 662-328-3247
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Fax | 662-328-9854
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Provider Business Mailing Address
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Address Line | 1005 4TH AVE N
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City | COLUMBUS
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State | MS
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Zip | 39701-4653
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Country | US
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Telephone | 662-328-3247
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Fax | 662-328-9854
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA MORRIS BRANDON
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Credential | LPN 11
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Telephone | 662-328-3247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | P230987
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License Number State | MS
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