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General NPI Number Information
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NPI Number | 1851613087
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Entity Type | Organization
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Legal Business Name | COASTAL ORTHOTICS AND PROSTHETICS LLC
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Dates
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Enumeration Date | 02/15/2010
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1100 C M FAGAN DR SUITE 100
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City | HAMMOND
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State | LA
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Zip | 70403-5963
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Country | US
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Telephone | 985-345-9940
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Fax | 985-345-9941
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Provider Business Mailing Address
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Address Line | 1100 C.M. FAGAN DR SUITE 100
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City | HAMMOND
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State | LA
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Zip | 70403
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Country | US
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Telephone | 985-345-9940
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Fax | 985-345-9941
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Authorized Official
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Title or Position | OWNER
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Name | SEAN W NORTHEY
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Credential | CP
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Telephone | 985-345-9940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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