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General NPI Number Information
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NPI Number | 1992770689
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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 | 05/27/2011
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Provider Practice Location Address
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Address Line | 1912 S MAIN ST
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City | MARYVILLE
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State | MO
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Zip | 64468-2647
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Country | US
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Telephone | 660-562-7912
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Fax | 660-562-7914
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Provider Business Mailing Address
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Address Line | 10143 PAGET DR
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City | SAINT LOUIS
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State | MO
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Zip | 63132-2915
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Country | US
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Telephone | 314-989-2500
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Fax | 314-989-2503
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALISON RUEHL
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Credential | RN, MBA
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Telephone | 314-989-2508
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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 | 108-10HO
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License Number State | MO
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