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General NPI Number Information
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NPI Number | 1033870563
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Entity Type | Organization
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Legal Business Name | STEP BY STEP LAB SERVICES LLC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 22330 CHANCELLORS RUN RD UNIT C
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City | GREAT MILLS
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State | MD
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Zip | 20634-2424
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Country | US
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Telephone | 240-293-4465
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Fax | 240-293-2751
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Provider Business Mailing Address
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Address Line | 22330 CHANCELLORS RUN RD UNIT C
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City | GREAT MILLS
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State | MD
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Zip | 20634-2424
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Country | US
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Telephone | 240-293-4465
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Fax | 240-293-2751
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Authorized Official
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Title or Position | DIRECTOR
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Name | EBONY HUTCHINS
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Credential |
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Telephone | 240-293-4465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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