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General NPI Number Information
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NPI Number | 1124509344
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Entity Type | Organization
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Legal Business Name | INSPIRE 2BE YOU LLC
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Dates
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Enumeration Date | 08/25/2018
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Last Update Date | 08/25/2018
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Provider Practice Location Address
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Address Line | 3740 COLONY DR STE 122
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2290
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Country | US
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Telephone | 210-725-8702
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Fax | 210-519-2752
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Provider Business Mailing Address
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Address Line | 530 POINT SPGS
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City | SAN ANTONIO
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State | TX
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Zip | 78253-5644
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Country | US
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Telephone | 402-578-5382
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Fax |
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Authorized Official
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Title or Position | COO/BUSINESS MANAGER
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Name | KERWIN BENTON
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Credential |
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Telephone | 402-578-5382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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