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General NPI Number Information
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NPI Number | 1437058195
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Entity Type | Organization
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Legal Business Name | COASTAL SPECIALTY PLLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 4000 COCHRANE PKWY
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City | AMES
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State | IA
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Zip | 50014-7701
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Country | US
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Telephone | 515-207-7939
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 93093
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City | DES MOINES
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State | IA
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Zip | 50393-3093
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Country | US
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Telephone | 515-723-9343
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER M HARVIN
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Credential | MD
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Telephone | 515-509-9956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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