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General NPI Number Information
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NPI Number | 1689228173
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Entity Type | Organization
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Legal Business Name | ASPIRE MINISTRY SERVICES, LLC
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 6815 LIBERTY CIR
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45069-6416
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Country | US
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Telephone | 419-651-9171
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Fax |
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Provider Business Mailing Address
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Address Line | 6815 LIBERTY CIR
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45069-6416
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Country | US
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Telephone | 419-651-9171
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN GULIANO
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Credential | MA, LPCC-S
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Telephone | 419-651-9171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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