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General NPI Number Information
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NPI Number | 1356203491
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH BEHAVIORAL HOSPITAL PHYSICIAN GROUP LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 3170 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8775
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8775
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | LISA BRADFORD
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Credential |
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Telephone | 931-308-5066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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