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General NPI Number Information
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NPI Number | 1851616866
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Entity Type | Organization
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Legal Business Name | FIRST STEPS TO SUCCESS LLC
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 501 SYCAMORE ST SUITE 507
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City | WATERLOO
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State | IA
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Zip | 50703-4644
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Country | US
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Telephone | 319-233-2500
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Fax | 319-233-2505
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Provider Business Mailing Address
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Address Line | 909 WILLOW RD
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City | MATTESON
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State | IL
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Zip | 60443-1981
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Country | US
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Telephone | 708-310-0600
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Fax | 708-747-6607
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. CARLA YVETTE CALDWELL
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Credential |
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Telephone | 708-310-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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