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General NPI Number Information
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NPI Number | 1912318346
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Entity Type | Organization
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Legal Business Name | STEPPING STONES RECOVERY CENTER
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 213 BROAD ST
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-4818
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Country | US
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Telephone | 478-783-0090
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Fax | 478-783-0080
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Provider Business Mailing Address
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Address Line | 213 BROAD ST
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-4818
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Country | US
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Telephone | 478-783-0090
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Fax | 478-783-0080
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Authorized Official
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Title or Position | OWNER
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Name | AMY BROWN
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Credential |
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Telephone | 478-783-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 13465411
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License Number State | GA
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