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General NPI Number Information
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NPI Number | 1326070624
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH-ST CHARLES HOSPITAL LLC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 2702 NAVARRE AVE
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City | OREGON
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State | OH
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Zip | 43616-3223
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Country | US
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Telephone | 419-696-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 JEFFERSON AVE 4TH FLOOR
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City | TOLEDO
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State | OH
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Zip | 43624-1120
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Country | US
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Telephone | 419-251-8997
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Fax | 419-251-3553
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Authorized Official
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Title or Position | CFO
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Name | SAMANTHA PLATZKE
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Credential |
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Telephone | 419-251-2046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology 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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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