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General NPI Number Information
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NPI Number | 1861282865
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Entity Type | Organization
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Legal Business Name | COASTAL CALM PSYCHIATRY ASSOCIATES LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2734 BEAVER RUN BLVD STE B297
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City | SURFSIDE BEACH
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State | SC
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Zip | 29575-5392
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Country | US
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Telephone | 843-310-2689
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Fax |
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Provider Business Mailing Address
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Address Line | 2734 BEAVER RUN BLVD STE B297
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City | SURFSIDE BEACH
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State | SC
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Zip | 29575-5392
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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 | CEO
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Name | RICHARD SCHULER
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Credential |
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Telephone | 843-310-2689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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