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General NPI Number Information
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NPI Number | 1477217297
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Entity Type | Organization
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Legal Business Name | COMMUNITY MERCY HEALTH PARTNERS
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 100 MEDICAL CENTER DR
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City | SPRINGFIELD
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State | OH
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Zip | 45504-2687
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Country | US
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Telephone | 937-523-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MEDICAL CENTER DR
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City | SPRINGFIELD
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State | OH
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Zip | 45504-2687
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Country | US
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Telephone | 937-523-5000
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Fax |
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Authorized Official
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Title or Position | SYSTEM DIRECTOR
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Name | KIMBERLY M RALSTON
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Credential |
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Telephone | 419-996-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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