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General NPI Number Information
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NPI Number | 1689714743
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH, SERVICES, LLC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 11700 STUDT AVE
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City | CREVE COEUR
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State | MO
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Zip | 63141-7480
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Country | US
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Telephone | 314-989-9199
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Fax |
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Provider Business Mailing Address
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Address Line | 14528 S OUTER 40 RD STE 300
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5743
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Country | US
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Telephone | 314-729-9909
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Fax |
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Authorized Official
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Title or Position | CFO- TREASURER
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Name | DENISE SCOFFIC
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Credential |
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Telephone | 314-251-1917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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