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General NPI Number Information
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NPI Number | 1508163098
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Entity Type | Organization
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Legal Business Name | AMC WOMACK-FT BRAGG
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 2356 SOUTH PEAK DRIVE
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City | HOPE MILLS
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State | NC
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Zip | 28348
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Country | US
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Telephone | 910-908-4673
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Fax |
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Provider Business Mailing Address
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Address Line | WOMACK ARMY MEDICALCENTER 2817 REILLY RD
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City | FORT LIBERTY
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State | NC
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Zip | 28310-7394
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Country | US
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Telephone | 910-907-6693
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Fax |
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Authorized Official
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Title or Position | CHIEF DHA PASS
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Name | HECTOR MORALES
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Credential |
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Telephone | 210-536-6650
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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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