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General NPI Number Information
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NPI Number | 1669792305
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Entity Type | Organization
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Legal Business Name | MERCY HOSPICE AND PALLIATIVE CARE, INCORPORATED
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 901 FOREST STREET POST OFFICE BOX
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City | SHELBY
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State | MS
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Zip | 38774-0282
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Country | US
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Telephone | 662-645-4549
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Fax |
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Provider Business Mailing Address
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Address Line | 901 FOREST STREET POST OFFICE BOX
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City | SHELBY
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State | MS
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Zip | 38774-0282
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Country | US
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Telephone | 662-645-4549
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MINNIE NOAH
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Credential |
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Telephone | 662-645-4549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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