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General NPI Number Information
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NPI Number | 1487739033
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH SERVICES LLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1630 DES PERES RD STE 305
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1800
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Country | US
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Telephone | 314-729-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 1630 DES PERES RD STE 305
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1800
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Country | US
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Telephone | 314-729-4400
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Fax |
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Authorized Official
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Title or Position | VP FINANCE
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Name | DENISE SCOFFIC
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Credential |
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Telephone | 314-251-1917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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