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General NPI Number Information
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NPI Number | 1326141953
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Entity Type | Organization
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Legal Business Name | EAST COAST MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 5210 LINTON BLVD SUITE 205
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6542
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Country | US
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Telephone | 561-495-1606
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Fax | 561-495-2810
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Provider Business Mailing Address
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Address Line | 5210 LINTON BLVD SUITE 205
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6542
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Country | US
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Telephone | 561-495-1606
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Fax | 561-495-2810
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRYAN SHAUN VINIK
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Credential | M.D.
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Telephone | 561-495-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | FL
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