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General NPI Number Information
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NPI Number | 1467365098
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Entity Type | Organization
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Legal Business Name | COASTAL NEUROSURGERY PLLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 3280 DAUPHIN ST
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City | MOBILE
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State | AL
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Zip | 36606-4060
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Country | US
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Telephone | 251-802-7730
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Fax |
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Provider Business Mailing Address
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Address Line | 18 S ANN ST
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City | MOBILE
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State | AL
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Zip | 36604-2145
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Country | US
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Telephone | 251-802-7730
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD FLOTTE
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Credential | MD
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Telephone | 251-802-7730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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