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General NPI Number Information
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NPI Number | 1861636540
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Entity Type | Organization
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Legal Business Name | MERCY MEMORIAL HOSPITAL CORPORATION
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 718 N MACOMB ST
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City | MONROE
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State | MI
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Zip | 48162-7815
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Country | US
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Telephone | 734-240-8840
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Fax | 734-240-4450
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Provider Business Mailing Address
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Address Line | 718 N MACOMB ST
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City | MONROE
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State | MI
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Zip | 48162-7815
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Country | US
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Telephone | 734-240-8840
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Fax | 734-240-4450
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANNETTE PHILLIPS
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Credential |
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Telephone | 734-240-8840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 4301081240
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License Number State | MI
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