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General NPI Number Information
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NPI Number | 1386848661
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Entity Type | Organization
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Legal Business Name | FIRST STEP, INC.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 12/03/2014
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Provider Practice Location Address
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Address Line | 100 OWINGS CT SUITE 8
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City | REISTERSTOWN
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State | MD
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Zip | 21136-6428
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Country | US
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Telephone | 410-526-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 10400 RIDGLAND RD SUITE 1
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-2715
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Country | US
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Telephone | 410-628-6120
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Fax |
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Authorized Official
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Title or Position | BUSINESS OPERATIONS MANAGER
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Name | MS. KIMBERLY BITTINGER
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Credential |
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Telephone | 410-628-6120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 904255
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License Number State | MD
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