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General NPI Number Information
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NPI Number | 1619029139
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Entity Type | Organization
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Legal Business Name | MERCY ASSISTED CARE, INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1236 BARBERRY DR
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City | JANESVILLE
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State | WI
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Zip | 53545-0457
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Country | US
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Telephone | 815-943-2071
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Fax | 815-943-8157
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Provider Business Mailing Address
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Address Line | 1010 N. WASHINGTON ST,
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City | JANESVILLE
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State | WI
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Zip | 53548
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Country | US
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Telephone | 608-755-7989
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Fax | 608-741-6798
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Authorized Official
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Title or Position | CFO
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Name | JOSEPH D MALAS
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Credential |
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Telephone | 815-971-6738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | WI
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