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General NPI Number Information
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NPI Number | 1154268639
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Entity Type | Organization
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Legal Business Name | GULF COAST ANESTHESIA SERVICES PC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 4500 13TH ST
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City | GULFPORT
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State | MS
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Zip | 39501-2515
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Country | US
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Telephone | 228-865-3065
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Fax |
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Provider Business Mailing Address
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Address Line | 450 MAMARONECK AVE STE 201
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City | HARRISON
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State | NY
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Zip | 10528-2436
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Country | US
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Telephone | 914-491-9495
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARC E KOCH
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Credential | KOCH
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Telephone | 914-491-9495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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