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General NPI Number Information
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NPI Number | 1508454133
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Entity Type | Organization
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Legal Business Name | A STEP BEYOND CLINICAL SERVICES LLC
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 903 PRESTIGE CT
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-9437
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Country | US
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Telephone | 757-260-9010
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Fax |
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Provider Business Mailing Address
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Address Line | 5007C VICTORY BLVD # 184
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City | YORKTOWN
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State | VA
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Zip | 23693-5601
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Country | US
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Telephone | 757-260-9010
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROCHELLE HENDERSON-CLARK
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Credential | PH.D, LPC, LSATP,
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Telephone | 757-260-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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