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General NPI Number Information
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NPI Number | 1912592031
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Entity Type | Organization
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Legal Business Name | COASTAL FERRY LLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 4912 RUTHERFORD RD STE 105
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-4040
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Country | US
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Telephone | 757-201-9875
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Fax |
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Provider Business Mailing Address
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Address Line | 4912 RUTHERFORD RD STE 105
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-4040
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Country | US
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Telephone | 757-201-9875
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WINSTON MILLER HENSLEY III
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Credential |
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Telephone | 757-201-9875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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