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General NPI Number Information
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NPI Number | 1437826989
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Entity Type | Organization
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Legal Business Name | COASTAL FAMILY HEALTH CENTER, INC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 7312 HWY 63 N
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City | MOSS POINT
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State | MS
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Zip | 39563
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Country | US
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Telephone | 228-374-2476
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Fax |
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Provider Business Mailing Address
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Address Line | 9113 HIGHWAY 49 STE 200
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City | GULFPORT
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State | MS
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Zip | 39503-4330
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Country | US
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Telephone | 228-374-2476
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY SERVICES
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Name | DR. PATRICK HUTTO
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Credential | PHARMD
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Telephone | 228-374-2476
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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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