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General NPI Number Information
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NPI Number | 1982887865
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Entity Type | Organization
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Legal Business Name | MERCY URGENT CARE
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 1700 OAK AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-2407
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Country | US
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Telephone | 231-672-6430
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Fax | 231-672-6256
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Provider Business Mailing Address
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Address Line | PO BOX 1847
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City | MUSKEGON
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State | MI
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Zip | 49443-1847
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Country | US
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Telephone | 231-672-2120
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Fax | 231-728-5981
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Authorized Official
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Title or Position | REGIONAL DIR PHYS REV CYCLE
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Name | MICHELLE LOHMAN
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Credential |
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Telephone | 231-672-2156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | MI
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