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General NPI Number Information
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NPI Number | 1295436095
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Entity Type | Organization
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Legal Business Name | CENTRE OF ASPIRATION, LLC
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Dates
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Enumeration Date | 03/17/2023
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 4221 OLD DENTON RD APT 4106
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City | CARROLLTON
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State | TX
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Zip | 75010-2326
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Country | US
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Telephone | 318-219-6112
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Fax |
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Provider Business Mailing Address
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Address Line | 4221 OLD DENTON RD APT 4106
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City | CARROLLTON
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State | TX
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Zip | 75010-2326
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Country | US
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Telephone | 318-219-6112
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | CHARME THOMPSON
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Credential | LPC-S
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Telephone | 318-219-6112
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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