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General NPI Number Information
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NPI Number | 1285106591
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Entity Type | Organization
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Legal Business Name | COASTAL COUNSELING
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Dates
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Enumeration Date | 12/27/2018
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 5 CHELSEA SQUARE
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City | MILLSBORO
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State | DE
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Zip | 19966
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Country | US
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Telephone | 302-542-4271
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Fax |
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Provider Business Mailing Address
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Address Line | 330 BLOSSOM WAY
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City | MILLSBORO
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State | DE
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Zip | 19966-4287
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Country | US
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Telephone | 302-542-4271
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. FLORENCE WHITE
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Credential | CADC
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Telephone | 302-542-4271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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