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General NPI Number Information
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NPI Number | 1700106903
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Entity Type | Organization
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Legal Business Name | STEPPING STONES CHILD PLACEMENT AGENCY
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 180 E 2100 S STE 100
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City | SALT LAKE CITY
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State | UT
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Zip | 84115-2300
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Country | US
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Telephone | 801-493-2100
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Fax | 801-493-2103
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Provider Business Mailing Address
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Address Line | 180 E 2100 S STE 100
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City | SALT LAKE CITY
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State | UT
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Zip | 84115-2300
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Country | US
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Telephone | 801-493-2100
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Fax | 801-493-2103
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Authorized Official
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Title or Position | CEO
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Name | MS. JODY LYN VALDEZ
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Credential |
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Telephone | 801-493-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | 16555
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License Number State | UT
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