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General NPI Number Information
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NPI Number | 1386604387
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Entity Type | Organization
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Legal Business Name | NH CAMP PENDLETON
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 200 MERCY CIRCLE FIN MGMT CODE 0814
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City | CAMP PENDLETON
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State | CA
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Zip | 92055-5191
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Country | US
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Telephone | 760-725-1621
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Fax | 760-725-1661
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Provider Business Mailing Address
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Address Line | PO BOX 555191
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City | CAMP PENDLETON
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State | CA
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Zip | 92055-5191
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Country | US
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Telephone | 760-725-1621
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Fax | 760-725-1661
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Authorized Official
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Title or Position | UBO MANAGER
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Name | TIER ARNOLD
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Credential |
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Telephone | 760-719-3920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2865M2000X
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Taxonomy Name | Military General Acute Care Hospital
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License Number |
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License Number State |
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