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General NPI Number Information
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NPI Number | 1093581381
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Entity Type | Organization
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Legal Business Name | ASPIRING RESILIENCE, LLC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 23 COURT ST STE 2
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City | HOULTON
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State | ME
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Zip | 04730-1746
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Country | US
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Telephone | 207-694-3069
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Fax |
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Provider Business Mailing Address
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Address Line | 249 BACK RIDGE RD
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City | LITTLETON
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State | ME
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Zip | 04730-6420
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Country | US
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Telephone | 207-694-6115
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOLYNN NADEAU
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Credential |
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Telephone | 207-694-3069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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