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General NPI Number Information
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NPI Number | 1528932928
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Entity Type | Organization
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Legal Business Name | ACH WINN-FT STEWART
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 8435 VANGUARD ROAD
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City | FORT STEWART
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State | GA
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Zip | 31314
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Country | US
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Telephone | 571-801-6914
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Fax |
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Provider Business Mailing Address
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Address Line | 1061 HARMON AVE RM CF12
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City | FORT STEWART
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State | GA
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Zip | 31314-5641
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Country | US
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Telephone | 571-801-6588
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Fax |
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Authorized Official
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Title or Position | SENIOR PROGRAM ANALYST COR
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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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