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General NPI Number Information
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NPI Number | 1144918970
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Entity Type | Organization
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Legal Business Name | COASTAL ANESTHESIA & PAIN ASSOCIATES, PLLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 13770 OLD LIVINGSTON RD
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City | NAPLES
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State | FL
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Zip | 34109-3856
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Country | US
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Telephone | 941-468-3092
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10130
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City | NAPLES
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State | FL
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Zip | 34101-0130
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | CASEY PANEPINTO
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Credential | CRNA
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Telephone | 941-468-3092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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