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General NPI Number Information
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NPI Number | 1962808733
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL LINCOLN
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 1000 E CHERRY ST
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City | TROY
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State | MO
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Zip | 63379-1513
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Country | US
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Telephone | 636-528-8551
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 E CHERRY ST
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City | TROY
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State | MO
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Zip | 63379-1513
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Country | US
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Telephone | 636-528-8551
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR FINANCE
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Name | MR. MARK THORN
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Credential |
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Telephone | 636-528-3329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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