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General NPI Number Information
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NPI Number | 1780687608
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Entity Type | Individual
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Provider Name | BRUCE M. NAKFOOR MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 8625 COLLIER BLVD STE 102
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City | NAPLES
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State | FL
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Zip | 34114-3550
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Country | US
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Telephone | 239-429-0100
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Fax | 239-241-8209
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Provider Business Mailing Address
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Address Line | 340 COLONY DR
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City | NAPLES
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State | FL
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Zip | 34108-8798
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Country | US
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Telephone | 239-470-4048
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME0070717
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License Number State | FL
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