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General NPI Number Information
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NPI Number | 1275909517
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Entity Type | Organization
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Legal Business Name | CCSHCN- FIRST STEPS
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 312 WHITTINGTON PKWY SUITE 020
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City | LOUISVILLE
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State | KY
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Zip | 40222-4923
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Country | US
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Telephone | 502-429-1249
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Fax |
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Provider Business Mailing Address
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Address Line | 312 WHITTINGTON PKWY SUITE 020
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City | LOUISVILLE
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State | KY
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Zip | 40222-4923
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SERVICE COORDINATOR
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Name | SHERYL BOWDRY
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Credential |
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Telephone | 502-429-1249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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