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“Independent Duty Corpsman” (Fort Bragg, NC)

Location: Fort Bragg, NC
Taxonomy: Independent Duty Corpsman.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1114284809 — MR. RUDY J LOPEZ SO-IDC
Practice Location Address:
JOINT SPECIAL OPERATIONS MEDICAL CTR USAJFKSWCS STOP A., 3004 ARDENNES ST.
FORT BRAGG NC
28310-9610
Practice Phone: 910-369-7775
1194077677 — MR. AMILCAR IVAN RODRIGUEZ SOIDC
Practice Location Address:
1975 COMBAT MEDIC DR
FORT BRAGG NC
28310-0001
Practice Phone: 910-396-4240
1215520499 — JOSHUA PAUL CUESTAS
Practice Location Address:
5-3845 COMBAT MEDIC DRIVE
FORT BRAGG NC
28310-0001
Practice Phone: 910-396-0089
1285209759 — KENNETH WADGINSKI
Practice Location Address:
5-3845 COMBAT MEDIC DRIVE
FORT BRAGG NC
28310-9610
Practice Phone: 910-394-1059
1497348684 — MR. MATTHEW AARON CARLSON NRP
Practice Location Address:
JSOMTC 5-3845 COMBAT MEDIC RD
FORT BRAGG NC
28310-0001
Practice Phone: 910-396-0089
1790378040 — JEFFREY THOMAS BALDWIN
Practice Location Address:
5-3845 COMBAT MEDIC DR
FORT BRAGG NC
28310-0001
Practice Phone: 910-396-0089
1811666134 — ALAN YEN
Practice Location Address:
2817 ROCK MERRITT AVENUE WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-0001
Practice Phone: 910-907-8922
1912572348 — KYLE MILLER SO-IDC
Practice Location Address:
2817 REILLY ST
FORT BRAGG NC
28310-7324
Practice Phone: 910-907-2575

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