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INSPIRED INSURANCE COMPANY P.O. Box 211359 Montgomery, Alabama 361211359 3342715515MEDICAL PROFESSIONAL LIABILITY APPLICATION Name of Applicant (First Named Insured) Additional Named Insured(s) (Attach
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Gather all the necessary information about the insured, including their full name, date of birth, and contact details.
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When an individual or entity is covered by an insurance policy.
The policyholder or the insured individual or entity.
By providing the necessary information about the insured individual or entity.
To ensure that the insured individual or entity is properly covered by an insurance policy.
Information such as the name, contact details, and policy information of the insured individual or entity.
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