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General NPI Number Information
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NPI Number | 1184801094
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Entity Type | Organization
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Legal Business Name | COASTAL IMAGING SOLUTIONS
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 806 RIVERSIDE DR
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City | ORMOND BEACH
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State | FL
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Zip | 32176-7851
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Country | US
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Telephone | 386-671-4882
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Fax | 386-671-0084
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Provider Business Mailing Address
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Address Line | 806 RIVERSIDE DR
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City | ORMOND BEACH
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State | FL
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Zip | 32176-7851
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Country | US
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Telephone | 386-671-4882
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Fax | 386-671-0084
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEVILLE RAMCHANDER
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Credential | MD
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Telephone | 386-671-4882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | ME0076138
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License Number State | FL
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