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General NPI Number Information
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NPI Number | 1104481662
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Entity Type | Organization
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Legal Business Name | ASPIRANET
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 1620 CUMMINS DR
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City | MODESTO
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State | CA
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Zip | 95358-6400
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Country | US
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Telephone | 209-576-1750
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Fax | 209-576-1768
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Provider Business Mailing Address
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Address Line | 400 OYSTER POINT BLVD STE 501
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-7600
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Country | US
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Telephone | 650-866-4080
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Fax | 650-866-4082
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. VERNON BROWN
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Credential |
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Telephone | 650-866-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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