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General NPI Number Information
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NPI Number | 1245259282
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Entity Type | Organization
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Legal Business Name | NORTH COAST MEDICAL SUPPLY, LLC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 2544 CAMPBELL PL STE 150
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City | CARLSBAD
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State | CA
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Zip | 92009-1768
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Country | US
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Telephone | 800-730-9887
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Fax | 800-503-6280
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Provider Business Mailing Address
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Address Line | PO BOX 9041
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City | CARLSBAD
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State | CA
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Zip | 92018-9041
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP CUSTOMER OPERATIONS
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Name | ANTHONY ALVAREZ
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Credential |
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Telephone | 800-321-0591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PHY46615
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License Number State | CA
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