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General NPI Number Information
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NPI Number | 1316213143
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Entity Type | Organization
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Legal Business Name | MERCY MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 04/12/2019
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Provider Practice Location Address
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Address Line | 271 CAREW ST
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City | SPRINGFIELD
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State | MA
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Zip | 01104
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Country | US
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Telephone | 413-748-9316
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Fax | 413-748-7217
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Provider Business Mailing Address
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Address Line | 271 CAREW STREET
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2377
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Country | US
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Telephone | 413-748-9315
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Fax | 413-748-6863
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Authorized Official
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Title or Position | REGIONAL DIRECTOR OF REIMBURSEMENT
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Name | JAMES M HARRIS
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Credential |
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Telephone | 860-714-4396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #12
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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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