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General NPI Number Information
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NPI Number | 1952392359
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Entity Type | Organization
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Legal Business Name | SUPPLEMENTAL MEDICAL SERVICES
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 10916 SCHUETZ RD
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City | SAINT LOUIS
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State | MO
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Zip | 63146-5704
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Country | US
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Telephone | 314-997-8833
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Fax | 314-997-3115
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Provider Business Mailing Address
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Address Line | 10916 SCHUETZ RD
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City | SAINT LOUIS
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State | MO
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Zip | 63146-5704
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Country | US
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Telephone | 314-997-8833
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Fax | 314-997-3115
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Authorized Official
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Title or Position | OWNER
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Name | GRETCHEN ANN CURRY
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Credential |
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Telephone | 314-997-8833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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