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NPI 1396809075

NPI 1396809075 : MERCY HEALTH SYSTEM OF KANSAS INC : INDEPENDENCE, KS

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General NPI Number Information
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    NPI Number           |    1396809075
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    Entity Type          |    Organization 
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    Legal Business Name  |    MERCY HEALTH SYSTEM OF KANSAS INC 
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Dates
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    Enumeration Date     |    12/20/2006
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    Last Update Date     |    01/15/2008
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Provider Practice Location Address
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    Address Line         |    800 W MYRTLE ST 
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    City                 |    INDEPENDENCE
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    State                |    KS
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    Zip                  |    67301-3240
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    Country              |    US
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    Telephone            |    620-330-2200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    800 W MYRTLE ST 
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    City                 |    INDEPENDENCE
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    State                |    KS
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    Zip                  |    67301-3240
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    Country              |    US
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    Telephone            |    620-330-2200
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     TERRI  DEL CHIARO 
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    Credential           |    
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    Telephone            |    620-223-7057
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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       |    A06-3003
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    License Number State |    KS
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