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General NPI Number Information
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NPI Number | 1003096942
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Entity Type | Organization
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Legal Business Name | HEALTHY STEPS, LLC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 6 BRIDAL PATH CT
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City | COLUMBIA
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State | SC
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Zip | 29229-9316
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Country | US
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Telephone | 864-616-2108
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Fax | 803-865-1792
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Provider Business Mailing Address
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Address Line | 6 BRIDAL PATH CT
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City | COLUMBIA
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State | SC
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Zip | 29229-9316
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Country | US
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Telephone |
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Fax | 803-865-1792
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JOHN DENNIS ALEXANDER
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Credential |
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Telephone | 864-616-2108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 2015-30991-30138
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License Number State | SC
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