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General NPI Number Information
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NPI Number | 1275907644
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Entity Type | Organization
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Legal Business Name | ASPIRE HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 11/21/2015
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 9332 ANNAPOLIS RD STE 309
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City | LANHAM
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State | MD
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Zip | 20706-3170
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Country | US
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Telephone | 240-484-1473
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Fax |
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Provider Business Mailing Address
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Address Line | 9332 ANNAPOLIS RD STE 309
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City | LANHAM
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State | MD
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Zip | 20706-3170
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Country | US
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Telephone | 240-484-1473
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Fax | 301-409-0307
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | CINDY L. HATLEY
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Credential |
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Telephone | 240-484-1473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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