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NPI 1992676407

NPI 1992676407 : STEPPING SCHOLARS PRENATAL SERVICE LLC : MILWAUKEE, WI

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General NPI Number Information
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    NPI Number           |    1992676407
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEPPING SCHOLARS PRENATAL SERVICE LLC 
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Dates
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    Enumeration Date     |    09/16/2025
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    316 N MILWAUKEE ST 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53202-5885
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    Country              |    US
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    Telephone            |    262-315-0794
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3351 N 14TH ST 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53206-2855
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    Country              |    US
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    Telephone            |    262-315-0794
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHOVANNI  HENDERSON 
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    Credential           |    
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    Telephone            |    262-315-0794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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