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General NPI Number Information
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NPI Number | 1225095789
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Entity Type | Organization
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Legal Business Name | LANDSTUHL REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CMR 402 BOX 323
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City | APO AE
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State | LANDSTUHL
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Zip | 09180
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Country | DE
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Telephone | 011496371867002
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 402 BOX 323
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City | APO AE
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State | LANDSTUHL
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Zip | 09180
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Country | DE
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PUBLIC HEALTH NURSE
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Name | TIMOTHY RICHARD WHOOLERY
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Credential | R.N.
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Telephone | 011496371867002
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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 | 0001174855
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License Number State | VA
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