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General NPI Number Information
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NPI Number | 1629793682
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Entity Type | Organization
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Legal Business Name | INSPIRE, INC.
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 10201 S 51ST ST STE 101
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City | PHOENIX
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State | AZ
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Zip | 85044-5216
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Country | US
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Telephone | 602-258-0900
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Fax | 928-440-5057
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Provider Business Mailing Address
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Address Line | 10201 S 51ST ST STE 101
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City | PHOENIX
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State | AZ
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Zip | 85044-5216
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Country | US
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Telephone | 602-258-0900
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Fax | 602-258-0200
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Authorized Official
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Title or Position | COO
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Name | DEANNA PETROV
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Credential |
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Telephone | 602-258-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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