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General NPI Number Information
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NPI Number | 1215177969
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Entity Type | Organization
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Legal Business Name | COASTLINE AMBULANCE SERVICES OF NEW ENGLAND, LLC
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 99 BLEACHERY COURT
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City | WARWICK
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State | RI
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Zip | 02886-1201
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Country | US
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Telephone | 401-737-3777
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Fax | 401-737-3772
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Provider Business Mailing Address
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Address Line | 999 SOUTH BROADWAY
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-4701
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Country | US
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Telephone | 401-737-3777
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Fax | 401-737-3772
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | CRAIG GARRETT
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Credential |
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Telephone | 401-737-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3416L0300X
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License Number State | RI
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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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