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General NPI Number Information
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NPI Number | 1487322863
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Entity Type | Organization
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Legal Business Name | ASPIRE THERAPY SERVICES
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 1005 SABLE CIR
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City | LAS CRUCES
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State | NM
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Zip | 88001-2385
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Country | US
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Telephone | 575-642-6257
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 SABLE CIR
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City | LAS CRUCES
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State | NM
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Zip | 88001-2385
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Country | US
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Telephone | 575-642-6257
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRACY LYN GERDES
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Credential | MS, CCC-SLP
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Telephone | 575-642-6257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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