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General NPI Number Information
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NPI Number | 1275492811
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Entity Type | Organization
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Legal Business Name | COASTLINE VIRTUAL URGENT CARE, PLLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 431 COUNTRY CLUB WAY STE 6
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City | KINGSTON
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State | MA
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Zip | 02364-4116
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Country | US
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Telephone | 508-591-0920
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Fax |
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Provider Business Mailing Address
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Address Line | 34 MAPLE ST
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City | KINGSTON
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State | MA
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Zip | 02364-1462
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Country | US
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Telephone | 508-591-0902
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | THUYMI TO
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Credential | FNP-BC
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Telephone | 714-206-4020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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