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General NPI Number Information
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NPI Number | 1003159203
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Entity Type | Organization
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Legal Business Name | STEP BY STEP EDU-PLAY
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 05/27/2016
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Provider Practice Location Address
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Address Line | 1412 14TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90404-2704
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Country | US
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Telephone | 310-339-9092
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Fax | 310-587-0020
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Provider Business Mailing Address
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Address Line | 1412 14TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90404-2704
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Country | US
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Telephone | 310-339-9092
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Fax | 310-597-0020
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | MR. JOHN S COX
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Credential |
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Telephone | 310-581-0590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MFT 52930
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MFT 77513
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | BCBA 1-13-14270
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | BCBA 1-10-6879
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 44050
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License Number State | CA
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