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General NPI Number Information
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NPI Number | 1063800381
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Entity Type | Organization
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Legal Business Name | ASPIRE THERAPEUTIC LEARNING INC.
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 16631 NOYES AVE
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City | IRVINE
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State | CA
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Zip | 92606-5138
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Country | US
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Telephone | 949-431-0852
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Fax | 866-800-7766
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Provider Business Mailing Address
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Address Line | 16631 NOYES AVE
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City | IRVINE
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State | CA
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Zip | 92606-5138
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Country | US
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Telephone | 949-431-0852
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Fax | 866-800-7766
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Authorized Official
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Title or Position | SLP/OWNER
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Name | AMANDA HARPST
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Credential | CCC-SLP
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Telephone | 949-529-8610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 19468
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License Number State | CA
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