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General NPI Number Information
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NPI Number | 1689445033
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Entity Type | Organization
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Legal Business Name | A STEP INTO RECOVERY CENTERS
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 6901 CANBY AVE
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City | RESEDA
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State | CA
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Zip | 91335-4323
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Country | US
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Telephone | 818-791-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 6901 CANBY AVE STE 101
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City | TARZANA
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State | CA
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Zip | 91335-4392
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Country | US
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Telephone | 661-417-6927
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER MARIE ROSA
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Credential |
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Telephone | 661-417-6927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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