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General NPI Number Information
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NPI Number | 1215660899
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Entity Type | Organization
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Legal Business Name | COASTLINE ANESTHESIA, LLC
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 55 LAMBERT LIND HWY STE 100
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City | WARWICK
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State | RI
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Zip | 02886-1074
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Country | US
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Telephone | 401-737-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 55 LAMBERT LIND HWY STE 100
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City | WARWICK
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State | RI
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Zip | 02886-1074
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Country | US
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Telephone | 401-737-4711
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Fax |
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Authorized Official
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Title or Position | ANESTHESIOLOGIST
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Name | DR. DEBORAH CAHILL
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Credential | MD
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Telephone | 401-737-4711
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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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Taxonomy #2
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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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