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General NPI Number Information
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NPI Number | 1740106772
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Entity Type | Organization
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Legal Business Name | COASTAL LIFE HEALTHCARE LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 42881 LAKE BABCOCK DR STE 200-C
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City | PUNTA GORDA
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State | FL
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Zip | 33982-5041
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Country | US
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Telephone | 813-524-7176
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Fax |
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Provider Business Mailing Address
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Address Line | 42881 LAKE BABCOCK DR STE 200-C
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City | PUNTA GORDA
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State | FL
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Zip | 33982-5041
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOCHONON TWERSKY
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Credential |
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Telephone | 718-749-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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