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General NPI Number Information
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NPI Number | 1013320779
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Entity Type | Organization
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Legal Business Name | ACH WEED-IRWIN
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | WEED ARMY COMMUNITY HOSPITAL 390 N LOOP RD.
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City | FORT IRWIN
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State | CA
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Zip | 92310-5109
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Country | US
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Telephone | 760-380-7420
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Fax | 760-380-1922
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Provider Business Mailing Address
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Address Line | WEED ARMY COMMUNITY HOSPITAL PO BOX 105109
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City | FORT IRWIN
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State | CA
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Zip | 92310
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Country | US
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Telephone | 760-380-7420
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Fax | 760-380-1922
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Authorized Official
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Title or Position | CHIEF DHA PASS
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Name | HECTOR MORALES
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Credential |
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Telephone | 210-536-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332000000X
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Taxonomy Name | Military/U.S. Coast Guard Pharmacy
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License Number |
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License Number State |
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