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General NPI Number Information
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NPI Number | 1659973196
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Entity Type | Organization
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Legal Business Name | TRANSPIRE MENTAL HEALTH
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 416 W STATE ST STE 201
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City | FREMONT
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State | OH
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Zip | 43420-2577
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Country | US
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Telephone | 567-280-6124
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Fax | 567-280-4080
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Provider Business Mailing Address
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Address Line | 811 3RD AVE APT G3
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City | FREMONT
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State | OH
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Zip | 43420-3247
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Country | US
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Telephone | 567-280-6124
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Fax | 567-280-4080
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Authorized Official
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Title or Position | CEO,FOUNDER
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Name | TERA NDOLBE
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Credential |
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Telephone | 567-280-6124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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