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General NPI Number Information
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NPI Number | 1316193063
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Entity Type | Organization
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Legal Business Name | SEVENTH STEP FOUNDATION, INC.
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 475 MEDFORD AVE
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City | HAYWARD
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State | CA
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Zip | 94541-1753
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Country | US
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Telephone | 510-278-0230
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Fax | 510-278-8054
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Provider Business Mailing Address
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Address Line | 475 MEDFORD AVE
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City | HAYWARD
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State | CA
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Zip | 94541-1753
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Country | US
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Telephone | 510-278-0230
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Fax | 510-278-8054
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RON DOYLE
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Credential |
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Telephone | 510-278-0230
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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 | 010041AN
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License Number State | CA
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