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General NPI Number Information
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NPI Number | 1558251843
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Entity Type | Organization
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Legal Business Name | INSPIRE WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 651 GRAND PANAMA BLVD STE 103
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-3458
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Country | US
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Telephone | 609-216-6108
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Fax |
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Provider Business Mailing Address
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Address Line | 126 FAIRWAY BLVD
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2806
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Country | US
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Telephone | 609-216-6108
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KAPIL NAYYAR
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Credential |
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Telephone | 609-216-6108
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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 |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State | NULL
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