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General NPI Number Information
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NPI Number | 1922254457
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Entity Type | Organization
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Legal Business Name | COASTAL ACCESS INC
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 03/31/2024
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Provider Practice Location Address
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Address Line | 3011 HIGHWAY 30 W # 101-166
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City | HUNTSVILLE
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State | TX
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Zip | 77340-3534
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Country | US
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Telephone | 936-581-5356
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Fax | 866-249-9163
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Provider Business Mailing Address
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Address Line | 3011 HIGHWAY 30 W # 101-166
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City | HUNTSVILLE
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State | TX
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Zip | 77340-3534
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Country | US
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Telephone | 936-581-5356
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Fax | 866-249-9163
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Authorized Official
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Title or Position | OWNER
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Name | EDWIN GUEVARA
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Credential |
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Telephone | 936-661-9227
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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