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General NPI Number Information
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NPI Number | 1053541078
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Entity Type | Organization
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Legal Business Name | ASPIRE HEALTH CONCEPTS, INC
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 04/27/2025
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Provider Practice Location Address
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Address Line | 4800 LINGLESTOWN RD
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City | HARRISBURG
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State | PA
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Zip | 17112-9183
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Country | US
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Telephone | 717-901-3440
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Fax |
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Provider Business Mailing Address
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Address Line | 49 PRINCE ST
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City | HARRISBURG
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State | PA
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Zip | 17109-3113
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Country | US
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Telephone | 717-901-3440
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Fax | 717-901-3447
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Authorized Official
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Title or Position | SECRETARY
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Name | RICHARD M RAYNER
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Credential | MD
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Telephone | 717-901-3440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD045812L
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License Number State | PA
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