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General NPI Number Information
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NPI Number | 1184035081
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Entity Type | Organization
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Legal Business Name | ASPIRE PSYCHOTHERAPY SERVICES
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 2945 SW WANAMAKER DR SUITE H
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City | TOPEKA
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State | KS
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Zip | 66614-5334
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Country | US
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Telephone | 785-438-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 SW 15TH ST
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City | TOPEKA
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State | KS
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Zip | 66604-2515
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Country | US
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Telephone | 785-438-8811
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Fax |
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Authorized Official
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Title or Position | OWNER/ MENTAL HEALTH CARE PROVIDER
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Name | MS. GWENDOLYN D. BAIR-LOEHR
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Credential | LSCSW
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Telephone | 785-438-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1800
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License Number State | KS
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