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General NPI Number Information
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NPI Number | 1326193400
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Entity Type | Organization
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Legal Business Name | MERCY HOME CARE LLC
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 822 N ANDOVER RD
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City | ANDOVER
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State | KS
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Zip | 67002-9527
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Country | US
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Telephone | 316-733-9400
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Fax | 316-733-9478
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Provider Business Mailing Address
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Address Line | 822 N ANDOVER RD PO BOX 580
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City | ANDOVER
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State | KS
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Zip | 67002-9527
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Country | US
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Telephone | 316-733-9400
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Fax | 316-733-9478
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | BECKY WALDSCHMIDT
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Credential | R.N.,B.S.N
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Telephone | 316-733-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | A008011
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License Number State | KS
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