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General NPI Number Information
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NPI Number | 1144885765
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Entity Type | Organization
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Legal Business Name | COAST MEDICAL TRANSPORT, INC
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 8733 N MAGNOLIA AVE STE 120
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City | SANTEE
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State | CA
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Zip | 92071-4524
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Country | US
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Telephone | 619-258-4274
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Fax |
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Provider Business Mailing Address
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Address Line | 8733 N MAGNOLIA AVE STE 120
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City | SANTEE
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State | CA
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Zip | 92071-4524
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Country | US
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Telephone | 866-502-6278
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | GIOVANNA BOLOUKI
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Credential |
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Telephone | 619-729-2229
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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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