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NPI 1740497866

NPI 1740497866 : ASPIRE SERVICES : BOISE, ID

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General NPI Number Information
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    NPI Number           |    1740497866
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASPIRE SERVICES 
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Dates
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    Enumeration Date     |    05/17/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    12100 W HARVESTER CT 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83709
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    Country              |    US
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    Telephone            |    208-893-5550
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    Fax                  |    208-893-5559
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Provider Business Mailing Address
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    Address Line         |    12100 W HARVESTER CT 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83709
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    Country              |    US
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    Telephone            |    208-893-5550
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    Fax                  |    208-893-5559
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHARON  SAUL 
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    Credential           |    
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    Telephone            |    208-893-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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