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General NPI Number Information
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NPI Number | 1912788605
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Entity Type | Organization
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Legal Business Name | ASPIRE MENTAL HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 791 COURT ST STE 2928
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City | APPOMATTOX
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State | VA
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Zip | 24522-5000
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Country | US
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Telephone | 434-444-6842
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Fax |
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Provider Business Mailing Address
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Address Line | 365 CHARLES DR
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City | APPOMATTOX
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State | VA
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Zip | 24522-4051
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Country | US
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Telephone | 434-444-6842
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KATRINA SLAGLE
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Credential | NP
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Telephone | 434-444-6842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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