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General NPI Number Information
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NPI Number | 1851083836
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Entity Type | Organization
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Legal Business Name | A STEP AT A TIME RECOVERY, LLC
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 801 W BROADWAY STE 4
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City | LOUISVILLE
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State | KY
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Zip | 40202-2236
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Country | US
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Telephone | 502-681-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 801 W BROADWAY STE 4
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City | LOUISVILLE
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State | KY
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Zip | 40202-2236
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Country | US
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Telephone | 502-681-6666
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | OMEGA SAVAGE
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Credential | APRN
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Telephone | 502-905-9405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care 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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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