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General NPI Number Information
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NPI Number | 1417823212
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Entity Type | Organization
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Legal Business Name | COASTAL INFUSIONS LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 33721 CALLE MIRAMAR
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-4925
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Country | US
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Telephone | 949-397-7367
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Fax |
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Provider Business Mailing Address
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Address Line | 33721 CALLE MIRAMAR
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-4925
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Country | US
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Telephone | 949-397-7367
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | BRANDON PROFITT
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Credential | RN
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Telephone | 949-397-7367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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