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General NPI Number Information
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NPI Number | 1205249075
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Entity Type | Organization
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Legal Business Name | NMC PORTSMOUTH
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1035 NIDER BLVD STE 100 BRANCH HEALTH CLINIC
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City | LITTLE CREEK
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State | VA
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Zip | 23459-8701
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Country | US
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Telephone | 757-953-8206
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Fax | 757-953-8217
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Provider Business Mailing Address
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Address Line | NAVAL MEDICAL CENTER THIRD PARTY COLLECTIONS 620 JOHN PAUL JONES CIR
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City | PORTHSMOUTH
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State | VA
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Zip | 23708-2111
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Country | US
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Telephone | 757-953-8206
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Fax | 757-953-8217
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Authorized Official
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Title or Position | CHIEF DHA POSC
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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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