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General NPI Number Information
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NPI Number | 1295671139
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Entity Type | Organization
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Legal Business Name | G.A. CARMICHAEL FAMILY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 1206 GRAND AVE
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City | YAZOO CITY
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State | MS
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Zip | 39194-2949
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Country | US
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Telephone | 601-859-0273
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Fax | 601-859-3849
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Provider Business Mailing Address
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Address Line | 1206 GRAND AVE
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City | YAZOO CITY
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State | MS
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Zip | 39194-2949
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Country | US
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Telephone | 601-859-0273
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Fax | 601-859-3849
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. KYLA ELISE PORTER
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Credential | PHARM D.
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Telephone | 601-859-5213
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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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