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General NPI Number Information
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NPI Number | 1306580659
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Entity Type | Organization
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Legal Business Name | SSM HEALTH CARE GROUP
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1225 SOUTH GRAND BLVD GL, DOOR #1
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1016
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Country | US
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Telephone | 314-617-2607
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 954467
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City | SAINT LOUIS
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State | MO
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Zip | 63195-1020
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Country | US
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Telephone | 314-617-3508
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT-FINANCIAL OPERATIONS
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Name | KAREN REWERTS
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Credential |
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Telephone | 314-605-4405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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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 | 207W00000X
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Taxonomy Name | Ophthalmology 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 | 156FX1800X
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Taxonomy Name | Optician
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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 | 332H00000X
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Taxonomy Name | Eyewear Supplier
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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