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General NPI Number Information
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NPI Number | 1881776904
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Entity Type | Organization
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Legal Business Name | LAKEWOOD RANCH MINIMALLY INVASIVE SURGERY LLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 8340 LAKEWOOD RANCH BLVD SUITE 101
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5180
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Country | US
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Telephone | 941-388-9525
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Fax | 941-388-9528
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Provider Business Mailing Address
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Address Line | 8340 LAKEWOOD RANCH BLVD SUITE 101
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5180
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Country | US
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Telephone | 941-388-9525
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Fax | 941-388-9528
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID A NAPOLIELLO
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Credential | MD
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Telephone | 941-388-9525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME78234
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License Number State | FL
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