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General NPI Number Information
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NPI Number | 1699527648
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Entity Type | Organization
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Legal Business Name | ASPIRE ADDICTION RECOVERY CENTER LLC
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1816 FM 2378
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City | LUBBOCK
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State | TX
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Zip | 79407-7007
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Country | US
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Telephone | 806-589-5911
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Fax | 806-797-0414
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Provider Business Mailing Address
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Address Line | 1816 FM 2378
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City | LUBBOCK
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State | TX
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Zip | 79407-7007
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Country | US
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Telephone | 806-589-5911
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Fax | 806-797-0414
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHAEL ROBIN CASEY
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Credential |
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Telephone | 806-252-3421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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