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General NPI Number Information
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NPI Number | 1184416661
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Entity Type | Organization
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Legal Business Name | EMPOWERED STEPS INC.
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 6838 YELLOWSTONE BLVD APT B35
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City | FOREST HILLS
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State | NY
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Zip | 11375-3425
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Country | US
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Telephone | 646-784-8207
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Fax |
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Provider Business Mailing Address
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Address Line | 6838 YELLOWSTONE BLVD APT B35
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City | FOREST HILLS
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State | NY
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Zip | 11375-3425
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DIANA MULLOKANDOVA
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Credential |
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Telephone | 646-784-8207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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