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General NPI Number Information
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NPI Number | 1306650726
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Entity Type | Organization
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Legal Business Name | NEXTSTEP SUPPORT SERVICES
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 3746 S 300 E
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City | SOUTH SALT LAKE
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State | UT
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Zip | 84115-4822
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Country | US
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Telephone | 801-800-1522
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Fax |
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Provider Business Mailing Address
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Address Line | 1422 E VINEYARD CT
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-4406
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Country | US
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Telephone | 801-800-1522
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Fax |
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Authorized Official
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Title or Position | EXCUTIVE DIRECTOR
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Name | DANIELLE TUPUA
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Credential |
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Telephone | 801-800-1522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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