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General NPI Number Information
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NPI Number | 1699095356
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Entity Type | Organization
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Legal Business Name | S.T.E.P.S., LLC
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 678 PARK AVE STE #2
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City | CRANSTON
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State | RI
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Zip | 02910-2114
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Country | US
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Telephone | 401-228-7866
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Fax | 401-228-7867
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Provider Business Mailing Address
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Address Line | 678 PARK AVE STE #2
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City | CRANSTON
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State | RI
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Zip | 02910-2114
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Country | US
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Telephone | 401-228-7866
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Fax | 401-228-7867
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JULIE FORREST
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Credential | M.D.
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Telephone | 401-228-7866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MD09629
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License Number State | RI
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