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General NPI Number Information
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NPI Number | 1578969366
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL LINCOLN
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 106 BROADWAY ST ,SUITE 3C
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City | ELSBERRY
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State | MO
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Zip | 63343-1345
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Country | US
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Telephone | 573-898-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 106 BROADWAY ST ,SUITE 3C
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City | ELSBERRY
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State | MO
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Zip | 63343-1345
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Country | US
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Telephone | 573-898-9100
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR FINANCE
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Name | MARK THORN
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Credential |
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Telephone | 636-528-3329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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