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General NPI Number Information
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NPI Number | 1598786220
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Entity Type | Organization
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Legal Business Name | MERCY MEDICAL CENTER-DYERSVILLE
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1111 3RD ST SW
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City | DYERSVILLE
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State | IA
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Zip | 52040-1725
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Country | US
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Telephone | 563-875-7101
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Fax | 563-589-2904
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Provider Business Mailing Address
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Address Line | 1111 3RD ST SW
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City | DYERSVILLE
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State | IA
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Zip | 52040-1725
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Country | US
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Telephone | 563-875-7101
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Fax | 563-589-2904
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIELLE GEARHART
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Credential |
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Telephone | 563-875-2909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 310181H
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License Number State | IA
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