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General NPI Number Information
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NPI Number | 1952547986
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Entity Type | Organization
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Legal Business Name | COAST 2 COAST FINANCIAL & MARKETING SERVICES LLC
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 15701 LEATHERLEAF LN
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City | LAND O LAKES
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State | FL
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Zip | 34638-7905
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Country | US
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Telephone | 813-412-3825
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Fax |
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Provider Business Mailing Address
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Address Line | 15701 LEATHERLEAF LN
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City | LAND O LAKES
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State | FL
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Zip | 34638-7905
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Country | US
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Telephone | 813-412-3825
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN S BIDELSPACH
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Credential | D.P.M.
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Telephone | 813-412-3825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO 2345
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License Number State | FL
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