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General NPI Number Information
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NPI Number | 1356027429
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Entity Type | Organization
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Legal Business Name | ACH BRIAN D ALLGOOD-PYEONGTAEK
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | USGA-HUMPHREYS BLDG. 6370
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City | CAMP HUMPHREYS
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State | SOUTH KOREA
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Zip | 96271
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Country | KP
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Telephone | 210-536-6650
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Fax |
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Provider Business Mailing Address
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Address Line | USGA-HUMPHREYS BLDG. 6370
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City | CAMP HUMPHREYS
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State | SOUTH KOREA
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Zip | 96271
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Country | KP
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DHA POD
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Name | HECTOR MORALES
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Credential |
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Telephone | 210-536-6118
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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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