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General NPI Number Information
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NPI Number | 1679518724
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Entity Type | Organization
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Legal Business Name | NWO INTEGRATED LABORATORIES MERCY LLC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2222 CHERRY ST
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City | TOLEDO
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State | OH
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Zip | 43608-2673
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Country | US
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Telephone | 419-251-8600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 636486
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City | CINCINNATI
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State | OH
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Zip | 45263-6486
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Country | US
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Telephone | 419-251-8600
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Fax |
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Authorized Official
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Title or Position | VP REIMBURSEMENT
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Name | KIMBERLY M RALSTON
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Credential |
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Telephone | 419-996-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | OH
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