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General NPI Number Information
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NPI Number | 1508261652
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Entity Type | Organization
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Legal Business Name | COASTAL VIEW SURGERY CENTER, LLC
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Dates
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Enumeration Date | 10/31/2014
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 536 E ARRELLAGA ST # 201
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City | SANTA BARBARA
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State | CA
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Zip | 93103-2264
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Country | US
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Telephone | 805-965-3400
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Fax | 805-965-1222
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Provider Business Mailing Address
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Address Line | 536 E ARRELLAGA ST # 201
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City | SANTA BARBARA
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State | CA
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Zip | 93103-2264
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Country | US
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Telephone | 805-965-3400
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Fax | 805-965-1222
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | RENE B ALLEN
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Credential | FACOG
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Telephone | 805-965-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0006X
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Taxonomy Name | Ambulatory Fertility Facility
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License Number | A81775
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | A81775
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License Number State | CA
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