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General NPI Number Information
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NPI Number | 1659212744
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Entity Type | Organization
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Legal Business Name | COASTAL GASTROENTEROLGY AND GENERAL SURGERY LLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 3440 TAMIAMI TRL UNIT 1
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8134
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Country | US
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Telephone | 941-200-4288
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Fax | 941-200-4289
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Provider Business Mailing Address
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Address Line | 3440 TAMIAMI TRL UNIT 1
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8134
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Country | US
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Telephone | 941-404-8189
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Fax | 941-200-4289
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | SANSKRITI SHARMA
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Credential | M.D.
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Telephone | 941-284-9255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery 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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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