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General NPI Number Information
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NPI Number | 1841096476
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Entity Type | Organization
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Legal Business Name | COASTAL RHEUMATOLOGY
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 5511 S CONGRESS AVE STE 115
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City | ATLANTIS
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State | FL
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Zip | 33462-1140
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Country | US
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Telephone | 954-237-3000
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Fax | 954-837-9299
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Provider Business Mailing Address
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Address Line | 3800 JOHNSON ST STE D
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6052
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Country | US
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Telephone | 954-237-3000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BUSSINESS DEVELOPEMENT
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Name | NICOLE BEGUIRISTAIN
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Credential |
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Telephone | 786-394-3063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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