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General NPI Number Information
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NPI Number | 1952072852
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Entity Type | Organization
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Legal Business Name | INSPIRE ONCOLOGY LLC
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 15465 TAMIAMI TRL N
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City | NAPLES
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State | FL
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Zip | 34110-6216
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Country | US
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Telephone | 239-429-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 8625 COLLIER BLVD UNIT 102
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City | NAPLES
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State | FL
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Zip | 34114-3636
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Country | US
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Telephone | 239-429-0100
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JAMES EDWIN BUNNELL
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Credential |
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Telephone | 239-470-4048
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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 |
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License Number State |
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