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General NPI Number Information
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NPI Number | 1083953095
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Entity Type | Organization
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Legal Business Name | STEPPING STONE SUPPORT CENTER INC
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Dates
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Enumeration Date | 02/11/2013
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 9032 W KEN CARYL AVE # A1-A3
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City | LITTLETON
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State | CO
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Zip | 80128-9330
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Country | US
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Telephone | 720-839-4626
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Fax |
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Provider Business Mailing Address
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Address Line | 9032 W KEN CARYL AVE # A1-A3
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City | LITTLETON
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State | CO
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Zip | 80128-9330
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Country | US
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Telephone | 720-839-4626
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BRYN MARIE BALDASSARI
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Credential |
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Telephone | 720-839-4626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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