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General NPI Number Information
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NPI Number | 1720745151
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Entity Type | Organization
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Legal Business Name | STEPPING STONE HEALTHCARE, INC.
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 221 W HALLANDALE BEACH BLVD STE 457
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5441
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Country | US
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Telephone | 954-234-2670
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Fax |
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Provider Business Mailing Address
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Address Line | 221 W HALLANDALE BEACH BLVD STE 457
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5441
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Country | US
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Telephone | 954-234-2670
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Fax |
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Authorized Official
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Title or Position | ONWER
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Name | MRS. TRACI-ANN MILLER
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Credential | ARNP
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Telephone | 754-799-7991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health 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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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