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General NPI Number Information
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NPI Number | 1730055104
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Entity Type | Organization
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Legal Business Name | BEST COAST SERVICE LLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3090 FRUITVILLE COMMONS BLVD STE 102
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City | SARASOTA
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State | FL
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Zip | 34240-2729
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Country | US
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Telephone | 941-231-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 3090 FRUITVILLE COMMONS BLVD STE 102
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City | SARASOTA
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State | FL
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Zip | 34240-2729
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Country | US
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Telephone | 941-231-2400
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRANDON JOHNSON
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Credential |
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Telephone | 941-626-0273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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