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General NPI Number Information
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NPI Number | 1912345257
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL LEBANON
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 608 OLD ROUTE 66
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City | SAINT ROBERT
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State | MO
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Zip | 65584-3730
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Country | US
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Telephone | 417-820-2818
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Fax |
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Provider Business Mailing Address
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Address Line | 608 OLD ROUTE 66
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City | SAINT ROBERT
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State | MO
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Zip | 65584-3730
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Country | US
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Telephone | 417-820-2818
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Fax |
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Authorized Official
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Title or Position | VP-FINANCE
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Name | MS. SCOTT REYNOLDS
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Credential |
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Telephone | 417-820-2818
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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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