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General NPI Number Information
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NPI Number | 1285616219
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Entity Type | Organization
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Legal Business Name | NORTH NAPLES FAMILY CARE INC
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 02/06/2009
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Provider Practice Location Address
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Address Line | 5490 BRYSON DR SUITE 201
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City | NAPLES
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State | FL
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Zip | 34109-0921
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Country | US
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Telephone | 239-596-7731
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Fax | 239-596-2285
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Provider Business Mailing Address
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Address Line | 5490 BRYSON DR SUITE 201
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City | NAPLES
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State | FL
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Zip | 34109-0921
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Country | US
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Telephone | 239-596-7731
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Fax | 239-596-2285
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN W BOZZA
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Credential | MD
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Telephone | 239-596-7731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME80216
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License Number State | FL
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