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General NPI Number Information
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NPI Number | 1366813586
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Entity Type | Organization
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Legal Business Name | ASPIRE HEALTH PARTNERS
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 1800 MERCY DR
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City | ORLANDO
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State | FL
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Zip | 32808-5646
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Country | US
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Telephone | 407-875-3700
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Fax | 407-292-2122
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Provider Business Mailing Address
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Address Line | 1800 MERCY DR
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City | ORLANDO
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State | FL
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Zip | 32808-5646
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Country | US
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Telephone | 407-875-3700
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Fax | 407-292-2122
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Authorized Official
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Title or Position | MEDICAL ASSISTANT
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Name | MRS. LATANYA ALLEN
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Credential | RMA
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Telephone | 407-952-8364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 2641026
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License Number State | FL
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