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General NPI Number Information
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NPI Number | 1396722955
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Entity Type | Organization
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Legal Business Name | 35TH MEDGRP-MISAWA
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Dates
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Enumeration Date | 12/26/2005
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 35 MDSS SGSR UNIT 5024 ATTN MEDICAL SERVICE ACCOUNTS
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City | APO
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State | AP
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Zip | 96319 5024
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Country | US
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Telephone | 315-226-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 35 MDSS SGSR UNIT 5024 ATTN MEDICAL SERVICE ACCOUNTS
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City | APO
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State | AP
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Zip | 96319 5024
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Country | US
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Telephone | 315-226-6250
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Fax |
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Authorized Official
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Title or Position | DHA FINANCIAL MANAGER
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Name | JEN LEWANDOWSKI
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Credential |
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Telephone | 703-817-4030
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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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