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General NPI Number Information
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NPI Number | 1295824001
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH SERVICES-IOWA CORP
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 910 N EISENHOWER AVE
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City | MASON CITY
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State | IA
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Zip | 50401-1525
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Country | US
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Telephone | 641-428-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 4TH ST SW
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City | MASON CITY
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State | IA
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Zip | 50401-2800
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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 | VP FINANCE
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Name | MARK C TRAMMEL
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Credential |
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Telephone | 641-428-7984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 170023H
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License Number State | IA
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