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General NPI Number Information
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NPI Number | 1689232043
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Entity Type | Organization
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Legal Business Name | ASPIRE MEDICAL SERVICES AND EDUCATION
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 602 SOUTH 8TH STREET
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City | PAGOSA SPRINGS
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State | CO
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Zip | 81147-5437
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Country | US
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Telephone | 970-264-5963
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Fax | 877-616-4724
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Provider Business Mailing Address
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Address Line | PO BOX 5437
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City | PAGOSA SPRINGS
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State | CO
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Zip | 81147-5437
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Country | US
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Telephone | 970-264-5963
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Fax | 877-616-4724
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARCY MITCHELL
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Credential |
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Telephone | 970-264-5963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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