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General NPI Number Information
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NPI Number | 1144366022
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Entity Type | Organization
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Legal Business Name | S T E P MED INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 2929 MARTIN LUTHER KING BLVD SUITE 4
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City | DALLAS
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State | TX
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Zip | 75215-2322
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Country | US
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Telephone | 214-421-9100
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Fax | 214-421-9700
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Provider Business Mailing Address
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Address Line | 954 E MADISON ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5950
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Country | US
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Telephone | 661-254-6630
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Fax | 661-254-6644
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | MR. PRAMESH PRAKASH SHARMA
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Credential |
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Telephone | 661-313-5503
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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 | 0000078
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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