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General NPI Number Information
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NPI Number | 1588338685
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Entity Type | Organization
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Legal Business Name | STEPPING STONE TREATMENT CENTER, LLC
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 3035 E SOUTHERN AVE
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City | PHOENIX
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State | AZ
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Zip | 85040-3714
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Country | US
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Telephone | 630-408-1611
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Fax |
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Provider Business Mailing Address
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Address Line | 3035 E SOUTHERN AVE
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City | PHOENIX
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State | AZ
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Zip | 85040-3714
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Country | US
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Telephone | 630-408-1611
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ALEXANDER T STONE
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Credential | MS
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Telephone | 630-408-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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