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General NPI Number Information
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NPI Number | 1669178711
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Entity Type | Organization
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Legal Business Name | STEPPING STONES DAY HABLITATION, LLC
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 5545 NW LOOP 410 STE 114
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1827
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Country | US
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Telephone | 210-726-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 9714 KNOB OAK
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City | SAN ANTONIO
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State | TX
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Zip | 78250-3423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. MARC MUCKLEROY
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Credential |
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Telephone | 210-386-8277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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