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General NPI Number Information
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NPI Number | 1407033517
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Entity Type | Organization
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Legal Business Name | MERCY HOME CARE, INC
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 800 COOPER ST SUITE 525
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City | CAMDEN
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State | NJ
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Zip | 08102-1155
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Country | US
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Telephone | 856-338-1141
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Fax | 856-338-1151
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Provider Business Mailing Address
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Address Line | 800 COOPER ST SUITE 525
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City | CAMDEN
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State | NJ
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Zip | 08102-1155
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Country | US
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Telephone | 856-338-1141
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Fax | 856-338-1151
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SVETLANA LUCHIN
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Credential |
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Telephone | 856-338-1141
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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 | HP0250100
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License Number State | NJ
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