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General NPI Number Information
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NPI Number | 1811225709
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Entity Type | Organization
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Legal Business Name | MERCY HOME HEALTHCARE AGENCY CORP
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 2102 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67214-1943
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Country | US
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Telephone | 316-263-1511
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Fax | 316-651-0361
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Provider Business Mailing Address
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Address Line | 2102 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67214-1943
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Country | US
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Telephone | 316-263-1511
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Fax | 316-651-0361
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. MARGARET N GODWIN-OPARA
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Credential |
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Telephone | 316-263-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | A087133
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | A087133
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License Number State | KS
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