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General NPI Number Information
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NPI Number | 1629062906
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Entity Type | Organization
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Legal Business Name | THE MERCY HOSPITAL INC
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 1233 MAIN ST
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City | HOLYOKE
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State | MA
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Zip | 01040
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Country | US
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Telephone | 413-536-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 MAIN ST
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City | HOLYOKE
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State | MA
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Zip | 01040-5381
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Country | US
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Telephone | 413-536-5111
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Fax |
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Authorized Official
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Title or Position | REGIONAL DIRECTOR OF REIMBURSEMENT
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Name | JAMES M HARRIS
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Credential |
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Telephone | 860-714-4396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 628
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 35
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 628
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License Number State | MA
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