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General NPI Number Information
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NPI Number | 1104310853
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Entity Type | Organization
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Legal Business Name | ASPIRE NURSING CONSULTANTS, INC.
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Dates
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Enumeration Date | 06/17/2018
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Last Update Date | 11/10/2024
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Provider Practice Location Address
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Address Line | 407 N PACIFIC COAST HWY STE 508
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2872
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Country | US
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Telephone | 310-736-0489
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Fax | 310-347-4376
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Provider Business Mailing Address
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Address Line | 407 N PACIFIC COAST HWY STE 508
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2872
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Country | US
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Telephone | 310-736-0489
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Fax | 310-347-4376
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Authorized Official
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Title or Position | NURSE PRACTITIONER / PRESIDENT
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Name | JACQUELINE DENISE WILLIAMS
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Credential | WHNP-BC
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Telephone | 310-736-0489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 731716
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License Number State | CA
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