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General NPI Number Information
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NPI Number | 1992228050
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Entity Type | Organization
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Legal Business Name | MERCY CHRISTIAN HEALTH
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1310 GREENWOOD AVE
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City | JACKSON
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State | MI
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Zip | 49203-3077
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Country | US
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Telephone | 517-962-0123
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Fax | 517-201-8067
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Provider Business Mailing Address
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Address Line | 1310 GREENWOOD AVE LOWR LEVEL
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City | JACKSON
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State | MI
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Zip | 49203-3077
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Country | US
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Telephone | 517-962-0123
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Fax | 517-201-8067
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHLEEN M MCCARREN
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Credential |
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Telephone | 734-572-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | MI
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