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General NPI Number Information
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NPI Number | 1992171813
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Entity Type | Organization
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Legal Business Name | ASPIRE BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 1170 SW MISSION AVE SUITE B
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City | TOPEKA
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State | KS
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Zip | 66604-6160
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Country | US
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Telephone | 785-215-8777
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Fax | 785-290-1065
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Provider Business Mailing Address
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Address Line | 1170 SW MISSION AVE SUITE B
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City | TOPEKA
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State | KS
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Zip | 66604-6160
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Country | US
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Telephone | 785-215-8777
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Fax | 785-290-1065
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Authorized Official
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Title or Position | DIRECTOR OF MEDICAL BILLING
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Name | MRS. LIZ A SHEPHERD
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Credential |
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Telephone | 785-215-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 45427
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License Number State | KS
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