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General NPI Number Information
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NPI Number | 1801809447
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Entity Type | Organization
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Legal Business Name | MERCY DOCTORS MEDICAL GROUP INC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 1 SHRADER ST SUITE 640
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1016
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Country | US
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Telephone | 415-752-0100
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Fax | 415-752-7103
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Provider Business Mailing Address
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Address Line | 1 SHRADER ST SUITE 640
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1016
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Country | US
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Telephone | 415-752-0100
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Fax | 415-752-7103
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARL E BRICCA
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Credential | D.O.
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Telephone | 415-752-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A6178
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C24372
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G79073
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G77043
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G27664
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A49422
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G61346
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A5403
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 20A5403
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | C24372
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A49422
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License Number State | CA
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Taxonomy #12
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C33715
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License Number State | CA
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