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General NPI Number Information
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NPI Number | 1134450141
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Entity Type | Organization
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Legal Business Name | STEP 2 SUCCESS THERAPY, LLC
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 14048 BRAMBLE BUSH CT
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City | ORLANDO
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State | FL
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Zip | 32832-5722
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Country | US
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Telephone | 407-383-7082
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Fax | 321-400-5175
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Provider Business Mailing Address
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Address Line | 14048 BRAMBLE BUSH CT
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City | ORLANDO
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State | FL
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Zip | 32832
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Country | US
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Telephone | 407-383-7082
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Fax | 400-321-5175
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Authorized Official
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Title or Position | CEO
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Name | PAMELA REESER
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Credential | MA CCC SLP
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Telephone | 407-383-7082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | SA 0000946
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License Number State | FL
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