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General NPI Number Information
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NPI Number | 1700507712
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Entity Type | Organization
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Legal Business Name | AMERICAN COASTAL SOLUTIONS LLC
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 4141 OTIS CT
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City | LAS VEGAS
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State | NV
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Zip | 89129-4416
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Country | US
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Telephone | 702-409-0057
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33095
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City | LAS VEGAS
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State | NV
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Zip | 89133-3095
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Country | US
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Telephone | 702-518-7788
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | NAISHA CARROLL
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Credential |
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Telephone | 702-409-0057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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