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General NPI Number Information
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NPI Number | 1184378473
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Entity Type | Organization
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Legal Business Name | INSPIRE EXERCISE MEDICINE LLC
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 3555 KRAFT RD # 130
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City | NAPLES
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State | FL
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Zip | 34105-5037
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Country | US
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Telephone | 239-429-0800
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Fax | 139-421-8209
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Provider Business Mailing Address
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Address Line | 3530 KRAFT RD STE 204
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City | NAPLES
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State | FL
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Zip | 34105-5020
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Country | US
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Telephone | 239-429-0800
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Fax | 239-421-8209
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Authorized Official
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Title or Position | COO
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Name | JAMES BUNNELL
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Credential |
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Telephone | 239-470-4048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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