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General NPI Number Information
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NPI Number | 1801341185
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Entity Type | Organization
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Legal Business Name | ASPIRE INNOVATIVE LANGUAGE INTERVENTIONS, PLLC
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 901 W WALL ST STE 101
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City | GRAPEVINE
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State | TX
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Zip | 76051-7414
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Country | US
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Telephone | 817-416-5374
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Fax |
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Provider Business Mailing Address
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Address Line | 901 W WALL ST STE 101
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City | GRAPEVINE
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State | TX
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Zip | 76051-7414
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Country | US
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Telephone | 817-416-5374
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF THERAPY/OWNER
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Name | DR. JEFFREY MARLER
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Credential | PHD, CCC-SLP
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Telephone | 817-416-5374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 107831
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License Number State | TX
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