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General NPI Number Information
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NPI Number | 1356207997
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Entity Type | Organization
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Legal Business Name | FIRST STEP SUPPORTIVE HOUSING INC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 17993 US HIGHWAY 18 STE 104
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2144
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Country | US
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Telephone | 888-511-9295
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Fax |
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Provider Business Mailing Address
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Address Line | 17993 US HIGHWAY 18 STE 104
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2144
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Country | US
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Telephone | 888-511-9295
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ESSENCE NICOLE JOHNSON
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Credential |
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Telephone | 760-996-4310
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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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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 174H00000X
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Taxonomy Name | Health Educator
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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