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General NPI Number Information
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NPI Number | 1124424510
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Entity Type | Organization
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Legal Business Name | ASPIRE RECOVERY CENTER OF FRISCO, LLC
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 8380 WARREN PKWY SUITE 602
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City | FRISCO
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State | TX
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Zip | 75034-4198
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Country | US
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Telephone | 469-249-9363
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Fax | 469-249-9364
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Provider Business Mailing Address
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Address Line | 8380 WARREN PKWY SUITE 602
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City | FRISCO
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State | TX
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Zip | 75034-4198
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Country | US
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Telephone | 469-249-9363
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Fax | 469-249-9364
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | DR. JOHN B DAKIN IV
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Credential | PHD, LMFT
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Telephone | 214-417-4217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 3482-3483
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License Number State | TX
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