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General NPI Number Information
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NPI Number | 1225826647
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Entity Type | Organization
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Legal Business Name | ASPIRE PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 04/26/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3506 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60618-5423
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Country | US
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Telephone | 419-575-8016
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 W TAYLOR ST # 257
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City | CHICAGO
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State | IL
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Zip | 60607-4623
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIELLE PIKE
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Credential | PSYD
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Telephone | 872-262-0309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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