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General NPI Number Information
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NPI Number | 1144090960
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Entity Type | Organization
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Legal Business Name | COASTAL CARE EMS
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 619 MARTIN LUTHER KING JR BLVD
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City | PANAMA CITY
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State | FL
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Zip | 32401-3642
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Country | US
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Telephone | 866-244-2760
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Fax | 850-780-3503
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Provider Business Mailing Address
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Address Line | 619 MARTIN LUTHER KING JR BLVD
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City | PANAMA CITY
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State | FL
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Zip | 32401-3642
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Country | US
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Telephone | 866-244-2760
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL MURPHY
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Credential |
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Telephone | 866-244-2760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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