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General NPI Number Information
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NPI Number | 1427001445
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Entity Type | Organization
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Legal Business Name | MERCY HARVARD HOSPITAL INC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 901 GRANT ST
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City | HARVARD
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State | IL
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Zip | 60033-1821
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Country | US
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Telephone | 815-943-5431
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Fax | 815-943-2726
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Provider Business Mailing Address
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Address Line | 901 GRANT ST
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City | HARVARD
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State | IL
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Zip | 60033-1821
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Country | US
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Telephone | 815-943-5431
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Fax | 815-943-2726
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Authorized Official
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Title or Position | CFO
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Name | JOSEPH D MALAS
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Credential |
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Telephone | 815-971-6738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4911
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 4911
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 0004911
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License Number State | IL
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