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General NPI Number Information
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NPI Number | 1306935143
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Entity Type | Organization
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Legal Business Name | MERCY PRIMARY CARE INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 1400 LOCUST ST
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City | PITTSBURGH
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State | PA
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Zip | 15219-5114
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Country | US
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Telephone | 412-937-8887
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Fax | 412-937-9221
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Provider Business Mailing Address
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Address Line | 680 ANDERSEN DRIVE MED 3000 ATTN SCOTT MADDEN
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City | PITTSBURGH
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State | PA
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Zip | 15220-2759
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Country | US
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Telephone | 412-937-8887
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Fax | 412-937-9221
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Authorized Official
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Title or Position | COO
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Name | STACEY M LANG
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Credential |
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Telephone | 412-232-7545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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