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General NPI Number Information
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NPI Number | 1881656734
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Entity Type | Organization
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Legal Business Name | A STEP AHEAD THERAPY CENTER, INC.
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3606 KIMBALL AVE
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City | WATERLOO
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State | IA
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Zip | 50702-5731
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Country | US
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Telephone | 319-234-3736
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Fax | 319-234-0401
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Provider Business Mailing Address
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Address Line | 3606 KIMBALL AVE
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City | WATERLOO
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State | IA
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Zip | 50702-5731
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Country | US
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Telephone | 319-234-3736
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Fax | 319-234-0401
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ALECA BARTLING
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Credential |
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Telephone | 319-234-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 03011
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 02547
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License Number State | IA
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