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NPI 1891582094

NPI 1891582094 : NEXT STEP HOUSE : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1891582094
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEXT STEP HOUSE 
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Dates
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    Enumeration Date     |    04/22/2025
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    Last Update Date     |    06/29/2025
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Provider Practice Location Address
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    Address Line         |    4724 MAPLE KNOLL AVE 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28212-4735
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    Country              |    US
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    Telephone            |    704-402-9176
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    113 RIVERIA RD 
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    City                 |    MOORESVILLE
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    State                |    NC
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    Zip                  |    28117-8974
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    Country              |    US
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    Telephone            |    704-402-9176
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EVELYN  DILLARD 
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    Credential           |    CADC
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    Telephone            |    704-402-9176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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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        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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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        |    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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