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General NPI Number Information
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NPI Number | 1700955317
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Entity Type | Organization
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Legal Business Name | MERCY PHYSICIAN ASSOCIATES, INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 225 WELTER DR
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City | MONTICELLO
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State | IA
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Zip | 52310-4722
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Country | US
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Telephone | 319-465-5937
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Fax | 319-465-6034
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Provider Business Mailing Address
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Address Line | PO BOX 1824
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City | CEDAR RAPIDS
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State | IA
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Zip | 52406-1824
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Country | US
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Telephone | 319-369-4505
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Fax | 319-369-4677
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Authorized Official
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Title or Position | SR DIRECTOR
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Name | ANNETTE J STANTON
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Credential |
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Telephone | 319-369-4512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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