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General NPI Number Information
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NPI Number | 1841758497
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Entity Type | Organization
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Legal Business Name | ASP THERAPY LLC
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Dates
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Enumeration Date | 03/02/2019
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Last Update Date | 03/02/2019
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Provider Practice Location Address
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Address Line | 255 S 17TH ST STE 1909
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6219
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Country | US
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Telephone | 215-341-3494
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Fax |
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Provider Business Mailing Address
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Address Line | 2032 KATER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1313
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Country | US
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Telephone | 215-341-3494
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. ARI STEVEN PIZER
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Credential | PSYD
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Telephone | 215-341-3494
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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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