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General NPI Number Information
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NPI Number | 1164493128
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Entity Type | Organization
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Legal Business Name | UNITED STATES NAVY
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | PSC 827 BOX 104
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City | FPO
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State | AE
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Zip | 09617-1000
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Country | US
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Telephone | 393346449929
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 827 BOX 104
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City | FPO
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State | AE
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Zip | 09617-1000
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Country | US
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Telephone | 393346449929
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Fax |
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Authorized Official
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Title or Position | DEPARTMENT HEAD
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Name | MR. BRUNO DI SCALA
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Credential | M.D.
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Telephone | 81-811-6155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 054263
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License Number State | FL
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