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General NPI Number Information
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NPI Number | 1568615003
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Entity Type | Organization
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Legal Business Name | FIRST STEPS
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 2828 HANNA PL
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City | LEXINGTON
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State | KY
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Zip | 40509-1496
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Country | US
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Telephone | 606-669-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 HANNA PL
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City | LEXINGTON
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State | KY
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Zip | 40509-1496
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Country | US
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Telephone | 606-669-1030
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Fax |
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Authorized Official
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Title or Position | SERVICE PROVIDER
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Name | MS. CRYSTAL RENEE GOFORTH
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Credential | BS
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Telephone | 606-669-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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