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General NPI Number Information
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NPI Number | 1487176178
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Entity Type | Organization
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Legal Business Name | A STEP AHEAD HOME SERVICES, INC.
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 18 FRANCES LN
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-3718
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Country | US
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Telephone | 516-993-3242
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Fax |
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Provider Business Mailing Address
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Address Line | 18 FRANCES LN
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-3718
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Country | US
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Telephone | 516-993-3242
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Fax |
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Authorized Official
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Title or Position | PT
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Name | KELLY HANFORD-WORKMAN
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Credential |
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Telephone | 516-993-3242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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