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NPI 1144269564

NPI 1144269564 : NH OKINAWA : FPO, AP

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General NPI Number Information
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    NPI Number           |    1144269564
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    Entity Type          |    Organization 
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    Legal Business Name  |    NH OKINAWA 
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Dates
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    Enumeration Date     |    06/05/2006
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    Last Update Date     |    06/13/2025
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Provider Practice Location Address
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    Address Line         |    PSC 482 
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    City                 |    FPO
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    State                |    AP
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    Zip                  |    96362-0017
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    Country              |    US
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    Telephone            |    251-292-2775
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PSC 482 BOX 1600 
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    City                 |    FPO
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    State                |    AP
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    Zip                  |    96362-0017
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    UBO MANAGER
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    Name                 |     SUSAN  DE LOS RIOS 
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    Credential           |    
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    Telephone            |    251-292-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2865M2000X
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    Taxonomy Name        |    Military General Acute Care Hospital
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    License Number       |    
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    License Number State |    
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