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General NPI Number Information
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NPI Number | 1629201496
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Entity Type | Organization
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Legal Business Name | STEP BY STEP SENIOR CARE, INC
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 6917 GEYER SPRINGS RD STE 6S
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City | LITTLE ROCK
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State | AR
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Zip | 72209-2760
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Country | US
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Telephone | 501-562-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 6917 GEYER SPRINGS RD STE 6S
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City | LITTLE ROCK
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State | AR
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Zip | 72209-2760
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Country | US
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Telephone | 501-562-0880
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BREON L HARMON
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Credential |
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Telephone | 501-952-6591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 176944765
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License Number State | AR
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