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General NPI Number Information
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NPI Number | 1447617493
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Entity Type | Organization
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Legal Business Name | ORDER MY STEPS CORP
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 1280 S POWERLINE RD STE 12
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4341
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Country | US
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Telephone | 954-316-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 401 E LAS OLAS BLVD SIUTE 130-514
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2210
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Country | US
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Telephone | 954-316-1200
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Fax | 954-337-8146
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MS. SHALONDA COPELAND
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Credential |
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Telephone | 954-816-3436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | HCC9665
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | HCC9665
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | HCC9665
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License Number State | FL
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