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General NPI Number Information
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NPI Number | 1396127726
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Entity Type | Organization
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Legal Business Name | STEPS TO HEAVEN SERVICES, LLC
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 1946 W GLENOAKS BLVD STE. B
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City | GLENDALE
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State | CA
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Zip | 91201-1602
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Country | US
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Telephone | 818-861-7442
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Fax | 888-774-2913
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Provider Business Mailing Address
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Address Line | 1946 W GLENOAKS BLVD STE. B
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City | GLENDALE
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State | CA
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Zip | 91201-1602
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Country | US
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Telephone | 818-806-8477
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Fax | 888-774-2913
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARIA SHELTON
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Credential | LVN
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Telephone | 818-861-7442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | VN122140
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License Number State | CA
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