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General NPI Number Information
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NPI Number | 1720804313
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Entity Type | Organization
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Legal Business Name | KEYSTEP LLC
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 12054 BRAMELL
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City | REDFORD
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State | MI
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Zip | 48239-1349
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Country | US
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Telephone | 313-670-8077
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Fax |
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Provider Business Mailing Address
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Address Line | 43000 W 9 MILE RD STE 301
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City | NOVI
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State | MI
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Zip | 48375-4129
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Country | US
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Telephone | 734-288-8701
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MS. YVETTE COLEMAN
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Credential |
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Telephone | 313-670-8077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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