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General NPI Number Information
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NPI Number | 1205293420
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Entity Type | Organization
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Legal Business Name | STEPPING STONES CARE LLC
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 15255 N FRANK LLOYD WRIGHT BLVD APT 2123
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2811
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Country | US
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Telephone | 602-529-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 15255 N FRANK LLOYD WRIGHT BLVD APT 2123
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2811
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Country | US
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Telephone | 602-529-2273
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KEVIN KADEL
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Credential |
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Telephone | 602-529-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number | 08908
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License Number State | AZ
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