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General NPI Number Information
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NPI Number | 1053635490
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Entity Type | Organization
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Legal Business Name | INSPIRATION FOR ASPIRATIONS
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 322 E STATESVILLE AVE
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City | MOORESVILLE
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State | NC
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Zip | 28115-2594
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Country | US
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Telephone | 704-664-5363
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Fax | 186-692-9535
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Provider Business Mailing Address
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Address Line | 322 E STATESVILLE AVE
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City | MOORESVILLE
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State | NC
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Zip | 28115-2594
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Country | US
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Telephone | 704-664-5363
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Fax | 186-692-9535
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | LYNN MARANVILLE MARTIN
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Credential | QP/BS
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Telephone | 704-664-5363
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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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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NC
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