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General NPI Number Information
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NPI Number | 1730571100
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH PARTNERS
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Dates
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Enumeration Date | 02/23/2015
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 6401 PRAIRIE ST SUITE 2900
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City | NORTON SHORES
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State | MI
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Zip | 49444-7840
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Country | US
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Telephone | 231-672-7890
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Fax | 231-672-7866
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Provider Business Mailing Address
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Address Line | 6401 PRAIRIE ST STE 2900
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City | NORTON SHORES
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State | MI
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Zip | 49444-7841
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Country | US
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Telephone | 231-672-7890
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Fax | 231-672-7866
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY EDWARD ALLORE
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Credential |
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Telephone | 231-672-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | MI
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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 |
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License Number State | MI
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