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General NPI Number Information
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NPI Number | 1720858202
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Entity Type | Organization
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Legal Business Name | ASPIRE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 3 PARK AVENUE EXT
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City | DANVILLE
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State | VA
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Zip | 24541-4214
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Country | US
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Telephone | 434-441-3498
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Fax |
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Provider Business Mailing Address
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Address Line | 225 CROSLAND AVE
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City | DANVILLE
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State | VA
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Zip | 24540-1321
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Country | US
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Telephone | 434-441-3498
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CEPHUS DEMARCUS MORRISON
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Credential |
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Telephone | 434-441-3498
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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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