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General NPI Number Information
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NPI Number | 1952693210
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Entity Type | Organization
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Legal Business Name | STEP BY STEP THERAPEUTIC CHILDCARE CENTER
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 5140 NANNIE HELEN BURROUGHS AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20019-5509
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Country | US
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Telephone | 202-450-1066
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Fax | 202-450-1160
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Provider Business Mailing Address
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Address Line | 5140 NANNIE HELEN BURROUGHS AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20019-5509
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Country | US
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Telephone | 202-450-1066
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Fax | 202-450-1160
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Authorized Official
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Title or Position | OWNER
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Name | MS. RICHELLE W HARVEY
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Credential | OTR/L
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Telephone | 202-450-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State | DC
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