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General NPI Number Information
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NPI Number | 1588313308
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Entity Type | Organization
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Legal Business Name | COCONUT & PALM PEDIATRICS
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Dates
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Enumeration Date | 03/20/2022
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 362 CHRISTOPHER AVE STE A
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3613
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Country | US
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Telephone | 240-410-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 362 CHRISTOPHER AVE STE A
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3613
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Country | US
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Telephone | 240-410-2309
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/ OWNER
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Name | KAITLYN REMINGTON
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Credential | DPT
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Telephone | 443-536-3394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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