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General NPI Number Information
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NPI Number | 1750020632
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Entity Type | Organization
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Legal Business Name | STEADYMD PHYSICIAN GROUP, PC
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 30 MARYLAND PLZ STE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1554
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Country | US
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Telephone | 978-248-8069
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MARYLAND PLZ STE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1554
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT SOERRIES
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Credential | MD
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Telephone | 978-248-8069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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