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General NPI Number Information
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NPI Number | 1295535961
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Entity Type | Organization
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Legal Business Name | OIC INSPIRED INC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1707 N MILLS AVE
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City | ORLANDO
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State | FL
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Zip | 32803-1851
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Country | US
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Telephone | 407-647-3960
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Fax | 407-367-0856
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Provider Business Mailing Address
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Address Line | 1707 N MILLS AVE
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City | ORLANDO
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State | FL
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Zip | 32803-1851
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Country | US
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Telephone | 407-647-3960
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Fax | 407-367-0856
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Authorized Official
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Title or Position | CHAIR OF THE BOARD
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Name | EDWIN DEJESUS
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Credential | MD
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Telephone | 407-647-3960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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