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General NPI Number Information
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NPI Number | 1932090420
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Entity Type | Organization
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Legal Business Name | ASPIRE PSYCHIATRY LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 101 E FLORIDA AVE
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City | MELBOURNE
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State | FL
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Zip | 32901-8301
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Country | US
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Telephone | 321-345-1284
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Fax |
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Provider Business Mailing Address
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Address Line | 3810 MURRELL RD # 120
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4756
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGING MEMBER / PHYSICIAN
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Name | NEIL JAYANT GAJERA
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Credential |
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Telephone | 321-345-1284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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