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NPI Code Detail

MEDICARE: INSPIRE THERAPEUTIC INC

MEDICARE: INSPIRE THERAPEUTIC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1467002642
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSPIRE THERAPEUTIC INC
Provider Business Mailing Address
First Line : 2104 PARK AVE STE 113
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-6607
Country : US
Telephone Number : 612-423-7611
Fax Number : 612-424-0911
Provider Business Practice Location Address
First Line : 2104 PARK AVE STE 113
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-6607
Country : US
Telephone Number : 612-423-7611
Fax Number : 612-424-0911
Authorized Official
Title or Position : OWNER
Name : MR. LIBAN AHMED GADID
Credential :
Telephone Number : 612-423-7611
Provider Enumeration Date : 09/18/2019
Last Update Date : 09/18/2019

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Directions to “INSPIRE THERAPEUTIC INC ” Practice Location

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