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General NPI Number Information
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NPI Number | 1083527261
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Entity Type | Organization
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Legal Business Name | CREST & COIL LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 159 20TH ST STE 1B
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City | BROOKLYN
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State | NY
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Zip | 11232-1254
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Country | US
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Telephone | 718-554-7877
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Fax |
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Provider Business Mailing Address
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Address Line | 159 20TH ST STE 1B
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City | BROOKLYN
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State | NY
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Zip | 11232-1254
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Country | US
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Telephone | 718-554-7877
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Fax |
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Authorized Official
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Title or Position | MANAGING MMER/OWNER
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Name | MR. GBENGA PETER DANIEL
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Credential |
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Telephone | 929-453-7264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | NULL
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