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General NPI Number Information
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NPI Number | 1700536315
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Entity Type | Organization
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Legal Business Name | INSPIREMD
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Dates
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Enumeration Date | 03/26/2022
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Last Update Date | 02/18/2023
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Provider Practice Location Address
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Address Line | 1300 N VERMONT AVE SUITE 506
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 323-379-5106
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 N VERMONT AVE SUITE 506
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 323-379-5106
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. GISELLE CARVALHO
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Credential | MD
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Telephone | 323-379-5106
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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 |
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