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NPI 1124324405

NPI 1124324405 : STEPPING STONES OF NV, L.L.C. : SPARKS, NV

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General NPI Number Information
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    NPI Number           |    1124324405
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEPPING STONES OF NV, L.L.C. 
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Dates
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    Enumeration Date     |    02/03/2011
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    Last Update Date     |    02/03/2011
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Provider Practice Location Address
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    Address Line         |    946 E ST 
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    City                 |    SPARKS
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    State                |    NV
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    Zip                  |    89431-0816
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    Country              |    US
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    Telephone            |    775-250-5505
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 50396 
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    City                 |    SPARKS
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    State                |    NV
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    Zip                  |    89435-0396
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    Country              |    US
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    Telephone            |    775-250-5505
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    Fax                  |    775-354-0390
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     ALMA A. CHANES 
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    Credential           |    
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    Telephone            |    775-250-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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