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General NPI Number Information
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NPI Number | 1548693955
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Entity Type | Organization
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Legal Business Name | COASTAL HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 2505 METROCENTRE BLVD SUITE 203
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3114
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Country | US
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Telephone | 561-491-4274
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Fax | 561-471-7124
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Provider Business Mailing Address
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Address Line | 2505 METROCENTRE BLVD SUITE 203
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3114
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Country | US
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Telephone | 561-491-4274
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Fax | 561-471-7124
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID A KYLE
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Credential |
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Telephone | 561-491-4274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | AHCA30211157
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License Number State | FL
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