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General NPI Number Information
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NPI Number | 1073908067
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Entity Type | Organization
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Legal Business Name | LL& R'S STEPPING STONE LLC
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 04/06/2015
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Provider Practice Location Address
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Address Line | 4037 LAKEWOOD RD
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City | LAKE WORTH
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State | FL
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Zip | 33461-3432
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Country | US
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Telephone | 561-703-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 4037 LAKEWOOD RD
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City | LAKE WORTH
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State | FL
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Zip | 33461-3432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAURA LEE CHAPMAN
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Credential | CRS,CAC,CNDAI
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Telephone | 561-703-2001
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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 |
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License Number State |
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