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General NPI Number Information
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NPI Number | 1891340279
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Entity Type | Organization
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Legal Business Name | ASPIRE INSIGHT THERAPY
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 945 DIVOT CT # 2
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451-8873
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Country | US
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Telephone | 530-416-9444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3674
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City | INCLINE VILLAGE
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State | NV
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Zip | 89450-3674
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Country | US
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Telephone | 530-416-9444
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Fax |
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Authorized Official
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Title or Position | LEAD THERAPIST
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Name | MS. LAURA LYNN NEIMARK
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Credential | L.C.S.W.
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Telephone | 530-416-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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