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General NPI Number Information
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NPI Number | 1346831187
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Entity Type | Organization
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Legal Business Name | COASTALMED MEDICAL SERVICES, LLC.
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 74998 COUNTRY CLUB DR STE 220-510
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City | PALM DESERT
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State | CA
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Zip | 92260-1970
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Country | US
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Telephone | 951-393-8647
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Fax |
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Provider Business Mailing Address
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Address Line | 74998 COUNTRY CLUB DR STE 220-510
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City | PALM DESERT
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State | CA
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Zip | 92260-1970
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Country | US
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Telephone | 951-393-8647
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | ROBERT ALLEN CALDWELL
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Credential |
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Telephone | 951-393-8647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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