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General NPI Number Information
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NPI Number | 1649477456
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Entity Type | Organization
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Legal Business Name | MERCY CLINIC-SPRINGFIELD COMMUNITIES
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 331 HOSPITAL DR SUITE E
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City | LEBANON
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State | MO
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Zip | 65536-9217
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Country | US
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Telephone | 417-533-7540
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Fax | 417-533-6550
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Provider Business Mailing Address
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Address Line | 341 HOSPITAL DR
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City | LEBANON
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State | MO
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Zip | 65536-9217
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Country | US
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Telephone | 417-533-6540
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | WILLIAM J ROBERTS
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Credential |
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Telephone | 417-820-7363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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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 | 106044
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | MO
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