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General NPI Number Information
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NPI Number | 1801365846
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Entity Type | Organization
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Legal Business Name | FIRST STEP CENTER LLC
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Dates
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Enumeration Date | 11/20/2018
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 10051 E DYNAMITE BLVD STE G135
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-5232
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Country | US
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Telephone | 480-250-5807
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Fax |
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Provider Business Mailing Address
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Address Line | 10051 E DYNAMITE BLVD STE G135
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-5232
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Country | US
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Telephone | 480-250-5807
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DYNA HAUGEN
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Credential |
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Telephone | 480-250-5807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #8
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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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