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NPI Code Detail

MEDICARE: STEPS LLC

MEDICARE: STEPS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1568869311
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPS LLC
Provider Business Mailing Address
First Line : 2366 EASTLAKE AVE E STE 102
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3391
Country : US
Telephone Number : 206-829-9328
Fax Number :
Provider Business Practice Location Address
First Line : 2366 EASTLAKE AVE E STE 102
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3391
Country : US
Telephone Number : 206-829-9328
Fax Number :
Authorized Official
Title or Position : CO-OWNER/ADMINISTRATIVE DIRECTOR
Name : DR. SHANE K H MIRAMONTEZ
Credential : PH.D.
Telephone Number : 206-829-9328
Provider Enumeration Date : 11/21/2014
Last Update Date : 12/01/2014

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Directions to “STEPS LLC ” Practice Location

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