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General NPI Number Information
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NPI Number | 1427298173
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Entity Type | Organization
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Legal Business Name | MERCY COMMUNITY PHYSICIANS
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 363 FREMONT ST
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3389
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Country | US
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Telephone | 269-966-8376
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Fax |
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Provider Business Mailing Address
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Address Line | 363 FREMONT ST
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3389
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Country | US
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Telephone | 269-966-8376
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROBERT H DAVIS
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Credential |
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Telephone | 269-966-8309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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