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General NPI Number Information
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NPI Number | 1205600400
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Entity Type | Organization
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Legal Business Name | STEPPING STONE SERVICES, LLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 612 N FULTON ST
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City | SALISBURY
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State | NC
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Zip | 28144-3438
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Country | US
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Telephone | 704-960-6180
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2452
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City | SALISBURY
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State | NC
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Zip | 28145-2452
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Country | US
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Telephone | 704-960-6180
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TERENCE LAJAUNE TABRON
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Credential |
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Telephone | 704-960-6180
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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 |
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License Number State |
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