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General NPI Number Information
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NPI Number | 1174457048
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Entity Type | Organization
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Legal Business Name | A STEP FORWARD LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 18234 N ALICIA CT
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City | MARICOPA
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State | AZ
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Zip | 85138-5174
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Country | US
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Telephone | 602-461-1974
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Fax |
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Provider Business Mailing Address
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Address Line | 833 W DOBBINS RD UNIT A
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City | PHOENIX
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State | AZ
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Zip | 85041-8371
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Country | US
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Telephone | 602-461-1974
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | NATAYSHA KIELYNN TYLER
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Credential |
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Telephone | 602-461-1974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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