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General NPI Number Information
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NPI Number | 1285609966
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Entity Type | Organization
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Legal Business Name | SSM HEALTH BUSINESSES
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 600 MEDICAL DR STE 209
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City | WENTZVILLE
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State | MO
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Zip | 63385-3426
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Country | US
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Telephone | 636-695-2050
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Fax | 636-695-2060
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Provider Business Mailing Address
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Address Line | 600 MEDICAL DR STE 209
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City | WENTZVILLE
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State | MO
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Zip | 63385-3426
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Country | US
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Telephone | 636-695-2050
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Fax | 636-695-2060
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Authorized Official
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Title or Position | VICE PRESIDENT PATIENT CARE SERVICE
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Name | LISA SCHWEITZER
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Credential | RN
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Telephone | 608-778-2146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 105-11HO
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License Number State | MO
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