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General NPI Number Information
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NPI Number | 1225396070
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Entity Type | Organization
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Legal Business Name | STEPPING UP COMMUNITY DEVELOPMENT INC
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 1712 CENTINELA AVE
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City | INGLEWOOD
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State | CA
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Zip | 90302-1027
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Country | US
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Telephone | 323-309-6310
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Fax | 323-792-4028
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Provider Business Mailing Address
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Address Line | 1712 CENTINELA AVE
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City | INGLEWOOD
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State | CA
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Zip | 90302-1027
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Country | US
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Telephone | 323-309-6310
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Fax | 323-792-4028
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Authorized Official
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Title or Position | EXECUTIVE DIRE TOR
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Name | CATHY RICHARD
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Credential |
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Telephone | 323-309-6310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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