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General NPI Number Information
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NPI Number | 1598828436
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Entity Type | Organization
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Legal Business Name | COASTAL KIDS HOME CARE
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1020 MERRILL ST SUITE 2015
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City | SALINAS
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State | CA
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Zip | 93901-4495
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Country | US
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Telephone | 800-214-5439
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Fax | 831-796-0334
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Provider Business Mailing Address
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Address Line | 1172 S MAIN ST # 125
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City | SALINAS
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State | CA
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Zip | 93901-2204
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Country | US
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Telephone | 800-214-5439
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Fax | 831-796-0334
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | MRS. MARGY MAYFIELD
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Credential | RN
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Telephone | 800-214-5439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | CA
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