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General NPI Number Information
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NPI Number | 1831642628
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Entity Type | Organization
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Legal Business Name | STEPPING STONES BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 5801 BELAIR RD
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City | BALTIMORE
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State | MD
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Zip | 21206-2608
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Country | US
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Telephone | 410-265-6260
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Fax | 410-265-6260
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Provider Business Mailing Address
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Address Line | 3133 CAMBRIDGE DR
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City | BALTIMORE
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State | MD
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Zip | 21244-3417
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Country | US
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Telephone | 443-651-4157
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Fax | 410-265-6260
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Authorized Official
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Title or Position | CEO
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Name | MRS. SHIRRETTE BUTLER
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Credential | MHS, MAC, CAC-AD
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Telephone | 443-651-4157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | AC1770
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License Number State | MD
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