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General NPI Number Information
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NPI Number | 1306027347
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Entity Type | Organization
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Legal Business Name | COASTAL MEDICAL SERVICES AND STAFFING
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 9888 BISSONNET ST STE 410
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City | HOUSTON
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State | TX
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Zip | 77036-8297
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Country | US
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Telephone | 713-541-1667
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Fax | 713-541-2669
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Provider Business Mailing Address
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Address Line | 9888 BISSONNET ST STE 410
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City | HOUSTON
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State | TX
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Zip | 77036-8297
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Country | US
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Telephone | 713-541-1667
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Fax | 713-541-2669
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Authorized Official
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Title or Position | ONWER
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Name | MR. CORNELIUS NWOKENAKA
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Credential |
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Telephone | 713-541-1667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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