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General NPI Number Information
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NPI Number | 1083870604
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Entity Type | Organization
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Legal Business Name | WEST COAST MUSCULOSKELETAL INSTITUTE PL
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 14555 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6003
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Country | US
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Telephone | 352-556-4823
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Fax | 352-556-4824
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Provider Business Mailing Address
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Address Line | 14555 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6003
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Country | US
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Telephone | 352-556-4823
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Fax | 352-556-4824
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. DANIEL P MOYNIHAN
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Credential | MD
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Telephone | 347-423-5270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME101245
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License Number State | FL
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