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General NPI Number Information
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NPI Number | 1386425940
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Entity Type | Organization
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Legal Business Name | COASTAL CAREGIVERS LLC.
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 20 COTTAGE DR
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City | FAIRHOPE
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State | AL
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Zip | 36532-3813
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Country | US
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Telephone | 251-517-2243
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Fax | 251-210-4405
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Provider Business Mailing Address
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Address Line | 20 COTTAGE DR
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City | FAIRHOPE
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State | AL
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Zip | 36532-3813
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Country | US
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Telephone | 251-517-2243
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Fax | 251-210-4405
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | GEORGETTE S HOULSEN
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Credential |
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Telephone | 251-200-2629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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