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General NPI Number Information
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NPI Number | 1134272735
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Entity Type | Organization
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Legal Business Name | COASTAL HOSPICE, INC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 1113 HEALTHWAY DR
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City | SALISBURY
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State | MD
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Zip | 21804-4470
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Country | US
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Telephone | 410-742-8732
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Fax | 410-543-8213
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Provider Business Mailing Address
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Address Line | PO BOX 1733
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City | SALISBURY
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State | MD
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Zip | 21802-0000
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Country | US
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Telephone | 410-742-8732
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Fax | 410-543-8213
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | CHRISTINE M BELANGER
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Credential |
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Telephone | 410-742-8732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D26278
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License Number State | MD
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