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General NPI Number Information
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NPI Number | 1942207287
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Entity Type | Organization
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Legal Business Name | FILLING MEMORIAL HOME OF MERCY, INC.
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | N160 STATE ROUTE 108
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City | NAPOLEON
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State | OH
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Zip | 43545-7729
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Country | US
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Telephone | 419-592-6451
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Fax | 419-599-5178
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Provider Business Mailing Address
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Address Line | N160 STATE ROUTE 108
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City | NAPOLEON
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State | OH
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Zip | 43545-7729
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Country | US
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Telephone | 419-592-6451
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Fax | 419-599-5178
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Authorized Official
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Title or Position | CEO
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Name | MR. PAUL E. OEHRTMAN
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Credential |
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Telephone | 419-592-6451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 12966
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License Number State | OH
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