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General NPI Number Information
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NPI Number | 1902714371
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Entity Type | Organization
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Legal Business Name | GULF COAST MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 6345 HIGHWAY 73
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City | GEISMAR
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State | LA
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Zip | 70734-3335
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Country | US
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Telephone | 225-303-2832
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Fax |
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Provider Business Mailing Address
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Address Line | 6345 HIGHWAY 73
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City | GEISMAR
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State | LA
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Zip | 70734-3335
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Country | US
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Telephone | 225-303-2832
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Fax |
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | LATAUSHA HENRY
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Credential |
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Telephone | 225-303-2832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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