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General NPI Number Information
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NPI Number | 1235604596
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Entity Type | Organization
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Legal Business Name | COASTAL CAREGIVERS HOME CARE INC.
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 3632 LAND O LAKES BLVD STE 106-20
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City | LAND O LAKES
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State | FL
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Zip | 34639-4405
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Country | US
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Telephone | 727-212-5008
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Fax |
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Provider Business Mailing Address
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Address Line | 2195 CABOOSE LN APT 302
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City | ODESSA
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State | FL
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Zip | 33556-3599
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Country | US
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Telephone | 850-490-7226
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Fax |
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Authorized Official
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Title or Position | CEO EXECUTIVE DIRECTOR
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Name | MAREE MELISSA STRICKLER
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Credential |
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Telephone | 850-490-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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