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General NPI Number Information
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NPI Number | 1659792075
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Entity Type | Organization
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Legal Business Name | ASPIRE THERAPY LLC
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Dates
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Enumeration Date | 01/02/2014
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Last Update Date | 01/02/2014
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Provider Practice Location Address
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Address Line | 1278 NW VIVION RD
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City | KANSAS CITY
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State | MO
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Zip | 64118-4551
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Country | US
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Telephone | 816-739-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 1278 NW VIVION RD
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City | KANSAS CITY
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State | MO
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Zip | 64118-4551
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Country | US
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Telephone | 816-739-4361
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Fax |
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | JENNIFER A LANE LEHR
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Credential | M.S. CCC-SLP
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Telephone | 816-739-4361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 115070
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License Number State | MO
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