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NPI 1043571391

NPI 1043571391 : COASTAL DREAM DOCS INC : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1043571391
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    Entity Type          |    Organization 
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    Legal Business Name  |    COASTAL DREAM DOCS INC 
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Dates
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    Enumeration Date     |    06/04/2012
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    Last Update Date     |    07/25/2025
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Provider Practice Location Address
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    Address Line         |    560 N NIMITZ HWY STE 115B 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96817-5380
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    Country              |    US
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    Telephone            |    808-784-2588
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    Fax                  |    808-784-2589
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Provider Business Mailing Address
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    Address Line         |    74 N PECOS RD STE B 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89074-7344
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    Country              |    US
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    Telephone            |    808-784-2588
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    Fax                  |    808-784-2589
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |    DR. STEPHEN M SEINK 
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    Credential           |    MD
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    Telephone            |    808-784-2588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RS0012X
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    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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