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General NPI Number Information
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NPI Number | 1255678561
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Entity Type | Organization
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Legal Business Name | INNOVATIVE STEPS CO.
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 09/23/2023
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Provider Practice Location Address
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Address Line | 2601 LITTLE ELM PKWY STE 1102
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City | LITTLE ELM
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State | TX
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Zip | 75068-1921
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Country | US
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Telephone | 972-821-9503
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Fax | 940-440-1301
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Provider Business Mailing Address
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Address Line | 11450 US HIGHWAY 380 STE 130-130
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City | CROSSROADS
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State | TX
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Zip | 76227-8321
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Country | US
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Telephone | 972-821-9503
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Fax | 940-440-1301
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | BRANDON DEVOR DAVIS
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Credential |
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Telephone | 972-821-9503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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