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General NPI Number Information
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NPI Number | 1568915098
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Entity Type | Individual
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Provider Name | ELAINA MERCURIO STNA
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 633 S UNION ST
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City | GALION
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State | OH
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Zip | 44833-3218
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Country | US
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Telephone | 270-881-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 633 S UNION ST
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City | GALION
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State | OH
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Zip | 44833-3218
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Country | US
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Telephone | 270-881-8800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 324273750716
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 00177146
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License Number State | TN
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