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General NPI Number Information
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NPI Number | 1194990531
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Entity Type | Organization
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Legal Business Name | CARDINAL CENTER, INC.--FIRST STEPS
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 504 N BAY DR
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City | WARSAW
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State | IN
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Zip | 46580-4627
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Country | US
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Telephone | 574-267-3823
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Fax | 574-267-6200
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Provider Business Mailing Address
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Address Line | 504 N BAY DR
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City | WARSAW
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State | IN
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Zip | 46580-4627
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Country | US
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Telephone | 574-267-3823
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Fax | 574-267-6200
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | N. JANE GREENE
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Credential |
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Telephone | 574-267-3823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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