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General NPI Number Information
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NPI Number | 1932816493
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Entity Type | Organization
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Legal Business Name | STEPAHEAD HEALTH
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 2363 TIMBERBROOK TRCE
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City | MARIETTA
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State | GA
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Zip | 30066-2179
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Country | US
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Telephone | 678-820-2210
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Fax | 678-224-8890
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Provider Business Mailing Address
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Address Line | 2363 TIMBERBROOK TRCE
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City | MARIETTA
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State | GA
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Zip | 30066-2179
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Country | US
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Telephone | 678-820-2210
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Fax | 678-224-8890
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Authorized Official
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Title or Position | CEO
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Name | MR. ISAAC KOFI QUARSHIE
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Credential |
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Telephone | 704-858-6850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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