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General NPI Number Information
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NPI Number | 1467716928
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Entity Type | Organization
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Legal Business Name | MERCY CLINIC EAST COMMUNITIES
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1326 S SERVICE RD W STE 20
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City | SULLIVAN
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State | MO
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Zip | 63080-2306
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Country | US
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Telephone | 573-468-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 S SERVICE RD W STE 20
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City | SULLIVAN
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State | MO
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Zip | 63080-2306
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Country | US
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Telephone | 573-468-3555
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR - FINANCE
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Name | KERRY DUNGER
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Credential |
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Telephone | 314-364-3707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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