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General NPI Number Information
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NPI Number | 1235401340
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Entity Type | Organization
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Legal Business Name | MARI ASPER MD, LLC
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Dates
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Enumeration Date | 02/04/2012
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Last Update Date | 03/01/2025
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Provider Practice Location Address
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Address Line | 9263 MEDICAL PLAZA DR SUITE A
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-7109
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Country | US
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Telephone | 843-377-1600
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Fax | 843-277-1601
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Provider Business Mailing Address
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Address Line | 9263 MEDICAL PLAZA DR SUITE A
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-7109
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Country | US
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Telephone | 843-377-1600
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Fax | 843-277-1601
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Authorized Official
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Title or Position | OWNER
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Name | MARI ASPER
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Credential | MD
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Telephone | 843-377-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 29858
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License Number State | SC
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Taxonomy #2
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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 | 29858
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License Number State | SC
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