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General NPI Number Information
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NPI Number | 1669125159
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Entity Type | Organization
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Legal Business Name | ASPIRE ASSESSMENT SERVICES, LLC.
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 3520 BEAVER AVE STE D
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City | DES MOINES
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State | IA
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Zip | 50310-3255
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Country | US
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Telephone | 515-333-8003
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Fax | 515-412-1582
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Provider Business Mailing Address
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Address Line | 3520 BEAVER AVE STE D
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City | DES MOINES
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State | IA
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Zip | 50310-3255
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Country | US
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Telephone | 515-333-8003
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Fax | 515-412-1582
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/PRINCIPAL ORGANIZER
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Name | MR. KENNETH DWAYNE CAMERON
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Credential | LMHC
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Telephone | 515-557-0415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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