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General NPI Number Information
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NPI Number | 1306033618
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Entity Type | Organization
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Legal Business Name | STEPPING STONES EARLY CHILDHOOD INTERVENTION
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 18085 VISTA DR
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-2905
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Country | US
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Telephone | 773-563-1081
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Fax | 708-798-1647
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Provider Business Mailing Address
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Address Line | PO BOX 2182
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-7782
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Country | US
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Telephone | 773-563-1081
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Fax | 708-798-1647
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Authorized Official
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Title or Position | DIRECTOR
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Name | VALERIE WILSON
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Credential |
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Telephone | 773-563-1081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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