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General NPI Number Information
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NPI Number | 1487670923
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Entity Type | Organization
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Legal Business Name | MERCY CLINICS, INC.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1601 NW 114TH ST
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City | CLIVE
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State | IA
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Zip | 50325-7007
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Country | US
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Telephone | 515-222-7000
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Fax | 515-222-7037
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Provider Business Mailing Address
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Address Line | PO BOX 674721
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City | DALLAS
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State | TX
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Zip | 75267-4721
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Country | US
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Telephone | 515-643-2519
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Fax |
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Authorized Official
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Title or Position | COO
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Name | BRADLEY WHIPPLE
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Credential |
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Telephone | 515-358-6956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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