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General NPI Number Information
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NPI Number | 1841303591
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Entity Type | Organization
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Legal Business Name | AMERICOAST DELAWARE, LLC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 1 TRADING POST PLAZA SUITE 10
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City | MILLSBORO
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State | DE
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Zip | 19966-9019
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Country | US
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Telephone | 302-945-8081
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Fax | 302-945-8082
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Provider Business Mailing Address
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Address Line | 60 NORTHPOINTE PKWY
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City | AMHERST
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State | NY
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Zip | 14228-1883
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Country | US
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Telephone | 716-568-2236
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Fax | 716-568-2243
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PETER F CUMMISKEY
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Credential |
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Telephone | 716-568-2236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 04-34957-21-000
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 04-34957-21-000
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License Number State | DE
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