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General NPI Number Information
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NPI Number | 1801115225
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Entity Type | Organization
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Legal Business Name | A STEP AHEAD GROUP
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 24331 W 8 MILE RD
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City | DETROIT
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State | MI
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Zip | 48219-1028
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Country | US
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Telephone | 313-935-0538
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Fax | 313-935-0538
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Provider Business Mailing Address
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Address Line | 24331 W 8 MILE RD
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City | DETROIT
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State | MI
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Zip | 48219-1028
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Country | US
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Telephone | 313-935-0538
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Fax | 313-935-0538
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Authorized Official
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Title or Position | VICE PRESIDENT / CO - FOUNDER
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Name | MR. TU' RONE ELLIOTT
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Credential | M.S.C, LLPC
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Telephone | 313-935-0538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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