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General NPI Number Information
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NPI Number | 1477500213
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL SPRINGFIELD
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 01/31/2012
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Provider Practice Location Address
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Address Line | 3231 S NATIONAL AVE SUITE 110
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7304
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Country | US
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Telephone | 417-841-0116
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Fax | 417-888-5609
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Provider Business Mailing Address
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Address Line | 3231 S NATIONAL AVE SUITE 110
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7304
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Country | US
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Telephone | 417-841-0116
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Fax | 417-888-5609
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Authorized Official
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Title or Position | COO
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Name | MS. JAY GUFFEY
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Credential |
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Telephone | 417-820-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 006622
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License Number State | MO
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