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General NPI Number Information
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NPI Number | 1710196423
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Entity Type | Organization
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Legal Business Name | GULF COAST CHIROPRACTIC AND PHYSICAL THERAPY CENTER, PA
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 2426 BEE RIDGE RD STE C
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City | SARASOTA
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State | FL
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Zip | 34239-6350
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Country | US
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Telephone | 941-927-7463
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Fax | 941-927-5522
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Provider Business Mailing Address
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Address Line | 2426 BEE RIDGE RD STE C
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City | SARASOTA
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State | FL
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Zip | 34239-6350
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Country | US
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Telephone | 941-927-7463
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Fax | 941-927-5522
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH J. KOSHES JR.
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Credential | RPT, DC, CCSP
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Telephone | 941-927-7463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH4148
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7137
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT2352
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT2252
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH4610
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License Number State | FL
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