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General NPI Number Information
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NPI Number | 1407577992
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Entity Type | Organization
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Legal Business Name | ASPIRE THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 802 KAMCHATKA CT
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City | APOPKA
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State | FL
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Zip | 32712-4749
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Country | US
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Telephone | 407-349-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 ROCK SPRINGS RD # 331
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City | APOPKA
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State | FL
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Zip | 32712-2229
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Country | US
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Telephone | 407-349-7110
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MIRACIA REGISME
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Credential | OTD, OTR/L
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Telephone | 561-275-3954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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