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General NPI Number Information
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NPI Number | 1083672505
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Entity Type | Organization
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Legal Business Name | COASTAL REHABILITATION SERVICES INC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1717 N FLAGLER DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-6555
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Country | US
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Telephone | 561-655-2222
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Fax | 561-659-5240
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Provider Business Mailing Address
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Address Line | 1717 N. FLAGLER DR #8
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City | WEST PALM BEACH
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State | FL
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Zip | 33407
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Country | US
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Telephone | 561-655-2222
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Fax | 561-659-5240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PADGETT MILLER
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Credential | PT, DOM
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Telephone | 561-655-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP 1550 & AP 1551
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT 2467
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License Number State | FL
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