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General NPI Number Information
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NPI Number | 1467412296
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Entity Type | Organization
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Legal Business Name | MERCY HOME HEALTH
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 41 UNIVERSITY DR STE 103
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 267-569-0760
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Fax | 267-569-0765
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Provider Business Mailing Address
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Address Line | PO BOX 532020
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City | LIVONIA
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State | MI
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Zip | 48153-2020
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Country | US
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Telephone | 877-827-0788
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MARCUS BOWENS
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Credential |
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Telephone | 770-283-4006
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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 | 701505
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License Number State | PA
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