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General NPI Number Information
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NPI Number | 1477822567
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Entity Type | Organization
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Legal Business Name | MERCY CLINIC JOPLIN LLC
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 3125 DR RUSSELL SMITH WAY
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City | CARTHAGE
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State | MO
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Zip | 64836-7402
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Country | US
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Telephone | 417-358-8121
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Fax | 417-237-7240
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Provider Business Mailing Address
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Address Line | 3125 DR RUSSELL SMITH WAY
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City | CARTHAGE
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State | MO
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Zip | 64836-7402
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Country | US
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Telephone | 417-358-8121
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Fax | 417-237-7240
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Authorized Official
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Title or Position | CFO
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Name | MATHEW JANSENS
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Credential |
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Telephone | 417-556-2459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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 | 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 #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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