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General NPI Number Information
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NPI Number | 1033746482
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Entity Type | Individual
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Provider Name | STEPHEN CHRISTOPHER REAM
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 1402 S GRAND BLVD RM M260
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1004
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Country | US
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Telephone | 314-617-2359
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43207-1043
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Country | US
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Telephone | 614-355-9000
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Fax | 614-355-9010
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57.249203
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 57.249203
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 2024025376
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License Number State | MO
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