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General NPI Number Information
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NPI Number | 1508725904
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Entity Type | Organization
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Legal Business Name | BABY STEPS SUPPORTIVE LIVING LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1625 DODGE DR NW
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City | WARREN
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State | OH
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Zip | 44485-1822
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Country | US
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Telephone | 330-978-7572
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Fax |
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Provider Business Mailing Address
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Address Line | 21867 N KIRKLAND DR
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City | MARICOPA
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State | AZ
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Zip | 85138-1722
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Country | US
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Telephone | 330-978-7572
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | SHAINA BROWN
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Credential | BROWN
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Telephone | 330-978-7572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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