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General NPI Number Information
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NPI Number | 1942981972
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Entity Type | Organization
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Legal Business Name | ASPIRE CARE AUTISM CENTER LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 1462 80TH ST E APT 340
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-3439
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Country | US
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Telephone | 763-657-9549
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Fax |
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Provider Business Mailing Address
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Address Line | 1462 80TH ST E APT 340
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-3439
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Country | US
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Telephone | 763-657-9549
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JUWARIYA M AHMED
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Credential |
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Telephone | 763-657-9549
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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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