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General NPI Number Information
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NPI Number | 1336568864
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Entity Type | Organization
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Legal Business Name | MERCY CLINIC HYPERBARIC AND WOUND CARE LLC
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Dates
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Enumeration Date | 04/11/2014
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1390 US HIGHWAY 61
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City | FESTUS
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State | MO
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Zip | 63028-4137
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Country | US
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Telephone | 636-933-1163
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Fax | 636-933-5789
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Provider Business Mailing Address
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Address Line | PO BOX 502852
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City | SAINT LOUIS
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State | MO
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Zip | 63150-2852
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Country | US
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Telephone | 314-364-4200
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR - FINANCE
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Name | KERRY DUNGER
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Credential |
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Telephone | 314-364-3707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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