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General NPI Number Information
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NPI Number | 1457037178
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Entity Type | Organization
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Legal Business Name | ASPIRED UNITY
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 62 E MAIN ST
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City | STATESBORO
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State | GA
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Zip | 30458-4844
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Country | US
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Telephone | 912-542-0494
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Fax |
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Provider Business Mailing Address
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Address Line | 62 E MAIN ST
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City | STATESBORO
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State | GA
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Zip | 30458-4844
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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 | BRANDON WILCHER
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Credential |
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Telephone | 912-542-0494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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