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General NPI Number Information
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NPI Number | 1538489760
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL CADILLAC
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 7985 MACKINAW TRL
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City | CADILLAC
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State | MI
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Zip | 49601-8111
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Country | US
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Telephone | 231-876-6200
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Fax | 231-779-5290
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Provider Business Mailing Address
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Address Line | PO BOX 533
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City | GRAYLING
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State | MI
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Zip | 49738-0533
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Country | US
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Telephone | 231-876-7200
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOHN L MACLEOD
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Credential |
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Telephone | 231-876-7200
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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 | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 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 #4
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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 #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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