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General NPI Number Information
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NPI Number | 1104464262
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Entity Type | Organization
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Legal Business Name | NAPLES PULMONARY LLC
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Dates
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Enumeration Date | 12/19/2019
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 10661 AIRPORT RD N STE 10
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City | NAPLES
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State | FL
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Zip | 34109-7310
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Country | US
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Telephone | 239-208-0381
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Fax |
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Provider Business Mailing Address
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Address Line | 10661 AIRPORT RD N STE 10
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City | NAPLES
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State | FL
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Zip | 34109-7310
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Country | US
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Telephone | 239-208-0381
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | KENNETH BOOKMAN
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Credential | MD
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Telephone | 239-208-0381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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