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General NPI Number Information
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NPI Number | 1114110509
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Entity Type | Organization
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Legal Business Name | COASTAL ORTHOPAEDICS & SPINAL SURGERY PA
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 612B MCCARTHY BLVD
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City | NEW BERN
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State | NC
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Zip | 28562-5231
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Country | US
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Telephone | 252-635-1788
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Fax | 252-635-3053
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Provider Business Mailing Address
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Address Line | 612B MCCARTHY BLVD
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City | NEW BERN
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State | NC
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Zip | 28562-5231
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Country | US
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Telephone | 252-635-1788
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Fax | 252-635-3053
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. BRIAN J BATTERSBY, JR
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Credential | MD
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Telephone | 252-635-1788
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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 |
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License Number State |
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