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General NPI Number Information
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NPI Number | 1285973214
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Entity Type | Organization
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Legal Business Name | AFLOAT TRAINING GROUP SAN DIEGO
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 3455 STURTEVANT ST SUITE 1
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City | SAN DIEGO
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State | CA
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Zip | 92136-5035
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Country | US
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Telephone | 619-556-0935
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Fax |
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Provider Business Mailing Address
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Address Line | 3455 STURTEVANT STREET SUITE 1
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City | SAN DIEGO
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State | CA
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Zip | 92136
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Country | US
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Telephone | 619-556-0935
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Fax |
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Authorized Official
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Title or Position | SENIOR MEDICAL ASSESSOR/ TRAINER
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Name | MR. CHRISTOPHER W MOORE
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Credential | SFIDC
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Telephone | 619-556-0935
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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 |
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License Number State |
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