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General NPI Number Information
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NPI Number | 1548672173
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Entity Type | Organization
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Legal Business Name | AMC EISENHOWER
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | RODRIGUEZ ARMY HEALTH CLINIC (RAHC) BLDG 21 CHRISMAN RD.
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City | FORT BUCHANAN
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State | PR
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Zip | 00934-3400
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Country | US
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Telephone | 787-707-2319
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Fax | 787-707-2591
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Provider Business Mailing Address
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Address Line | EISENHOWER ARMY MEDICAL CENTER C/O ATTN MCHF-PAD 300 W HOSPITAL ROAD
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City | FT GORDON
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State | GA
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Zip | 30905-5741
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Country | US
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Telephone | 787-707-2319
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Fax | 787-707-2591
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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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