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General NPI Number Information
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NPI Number | 1518064369
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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 | 09/20/2006
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 7700 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-3563
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Country | US
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Telephone | 215-247-1172
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-3563
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Country | US
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Telephone | 215-247-1172
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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