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General NPI Number Information
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NPI Number | 1982212205
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Entity Type | Organization
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Legal Business Name | STEPPIN STONE INC
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 7244 W BENTON DR
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City | FRANKFORT
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State | IL
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Zip | 60423-9303
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Country | US
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Telephone | 708-567-5053
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Fax | 815-464-9983
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Provider Business Mailing Address
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Address Line | 7244 W BENTON DR
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City | FRANKFORT
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State | IL
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Zip | 60423-9303
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Country | US
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Telephone | 708-567-5053
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Fax | 815-464-9983
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Authorized Official
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Title or Position | VP OF OPEATIONS
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Name | DR. ANN ASSAM
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Credential | PHARMD
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Telephone | 708-567-2053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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