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General NPI Number Information
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NPI Number | 1588581128
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Entity Type | Organization
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Legal Business Name | EMERALD COAST CRYOTHERAPY, PERFORMANCE & RECOVERY, LLC
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 4495 FURLING LN STE 10
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City | DESTIN
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State | FL
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Zip | 32541-5422
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Country | US
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Telephone | 850-279-4145
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Fax |
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Provider Business Mailing Address
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Address Line | 4495 FURLING LN STE 10
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City | DESTIN
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State | FL
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Zip | 32541-5422
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Country | US
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Telephone | 850-279-4145
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Fax |
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Authorized Official
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Title or Position | OWNER/GM
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Name | MS. AMY H MILLIGAN
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Credential |
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Telephone | 850-279-4145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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