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General NPI Number Information
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NPI Number | 1235870189
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Entity Type | Organization
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Legal Business Name | ASPIRE INDIVIDUAL & FAMILY SERVICES
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 405 STATE HIGHWAY 121 BYP STE A250
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City | LEWISVILLE
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State | TX
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Zip | 75067-4183
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Country | US
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Telephone | 214-790-7736
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Fax | 214-975-2255
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Provider Business Mailing Address
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Address Line | 405 STATE HIGHWAY 121 BYP STE A250
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City | LEWISVILLE
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State | TX
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Zip | 75067-4183
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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 | DIRECTOR
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Name | FREEDA MONAE MITCHELL
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Credential |
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Telephone | 414-326-7880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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