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General NPI Number Information
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NPI Number | 1639647324
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Entity Type | Organization
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Legal Business Name | COASTAL MED-TECH CORP.
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 177 COLLEGE AVE
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City | WATERVILLE
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State | ME
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Zip | 04901-6219
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Country | US
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Telephone | 800-773-6511
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Fax | 207-872-7310
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Provider Business Mailing Address
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Address Line | 1019 TOWN DR
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41076-9114
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Country | US
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Telephone | 859-441-8876
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Fax | 859-441-5850
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREG CRAWFORD
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Credential |
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Telephone | 859-441-8876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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