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General NPI Number Information
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NPI Number | 1265373484
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Entity Type | Organization
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Legal Business Name | COASTAL SPINE AND PAIN
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 150 W PEACHTREE AVE
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City | FOLEY
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State | AL
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Zip | 36535-2244
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Country | US
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Telephone | 251-291-2311
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Fax | 251-257-4784
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Provider Business Mailing Address
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Address Line | 150 W PEACHTREE AVE
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City | FOLEY
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State | AL
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Zip | 36535-2244
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Country | US
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Telephone | 251-291-2311
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Fax | 251-257-4784
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | RICHARD T WEBB
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Credential | MD
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Telephone | 251-291-2311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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