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General NPI Number Information
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NPI Number | 1972216620
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Entity Type | Organization
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Legal Business Name | STEP FORWARD SERVICES
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 4814 POLARIS ST
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City | ORLANDO
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State | FL
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Zip | 32819
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Country | US
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Telephone | 407-572-7027
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Fax |
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Provider Business Mailing Address
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Address Line | 4814 POLARIS ST
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City | ORLANDO
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State | FL
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Zip | 32819
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Country | US
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Telephone | 407-572-7027
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Fax |
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Authorized Official
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Title or Position | OWNER/NP
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Name | CLEUSIMENE FRANCOIS
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Credential |
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Telephone | 407-572-7027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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