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General NPI Number Information
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NPI Number | 1356211122
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Entity Type | Organization
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Legal Business Name | ASPIRE PHYSICIAN ASSISTANT P.C.
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3711 LONG BEACH BLVD UNIT 4622
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City | LONG BEACH
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State | CA
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Zip | 90807-3315
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Country | US
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Telephone | 213-642-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 3711 LONG BEACH BLVD UNIT 4622
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City | LONG BEACH
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State | CA
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Zip | 90807-3315
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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 | CEO
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Name | TASHARIAH ROBINSON
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Credential |
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Telephone | 213-642-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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