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General NPI Number Information
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NPI Number | 1194014878
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Entity Type | Organization
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Legal Business Name | STEPPING STONES TOWARD THE FUTURE LLC
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 6767 FOREST HILL AVE SUITES 3 AND 4
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City | RICHMOND
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State | VA
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Zip | 23225-1856
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Country | US
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Telephone | 804-283-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 3806 OLD POST RD
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City | RICHMOND
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State | VA
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Zip | 23234-2024
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Country | US
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Telephone | 804-283-1422
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MRS. TIFNEY LEQUITA WARD HAIRSTON
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Credential |
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Telephone | 804-283-1422
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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 | 1454
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License Number State | VA
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