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General NPI Number Information
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NPI Number | 1609872357
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Entity Type | Organization
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Legal Business Name | MERCY MEDICAL CENTER
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 SAINT PAUL PL
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City | BALTIMORE
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State | MD
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Zip | 21202-2102
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Country | US
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Telephone | 410-332-9000
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Fax | 410-545-4254
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Provider Business Mailing Address
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Address Line | PO BOX 222
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City | BALTIMORE
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State | MD
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Zip | 21203-0222
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Country | US
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Telephone | 410-332-9000
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Fax | 410-545-5254
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Authorized Official
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Title or Position | CLINICAL COORD. ANTICOAGULATION SVC
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Name | DR. MARK F KERN
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Credential | PHARM D
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Telephone | 410-332-9149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 08861
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License Number State | MD
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