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NPI 1992687776

NPI 1992687776 : STEPPING STONES SMILES INC. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1992687776
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEPPING STONES SMILES INC. 
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Dates
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    Enumeration Date     |    07/23/2025
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    Last Update Date     |    07/29/2025
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Provider Practice Location Address
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    Address Line         |    69 BEVY CT 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11229-6550
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    Country              |    US
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    Telephone            |    718-666-5443
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    69 BEVY CT 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11229-6550
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/DIRECTOR
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    Name                 |     KAMILA  ABDUKADYROVA 
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    Credential           |    MS.SPED
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    Telephone            |    718-666-5443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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