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General NPI Number Information
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NPI Number | 1740521871
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Entity Type | Organization
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Legal Business Name | ASPIRE OCCUPATIONAL REHABILITATION, PLLC
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 971 NORTH MAIN STREET
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City | CHAPMANVILLE
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State | WV
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Zip | 25508-4303
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Country | US
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Telephone | 304-855-5886
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Fax | 304-855-5889
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Provider Business Mailing Address
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Address Line | 971 MAIN STREET SUITE 5
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City | CHAPMANVILLE
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State | WV
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Zip | 25508-4303
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Country | US
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Telephone | 304-855-5886
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Fax | 304-855-5889
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | MR. LESTER SARGENT
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Credential | MA
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Telephone | 304-855-5886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 799
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 799
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 799
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 799
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 799
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License Number State | WV
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Taxonomy #6
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 799
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License Number State | WV
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 799
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License Number State | WV
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