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General NPI Number Information
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NPI Number | 1659566933
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Entity Type | Organization
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Legal Business Name | U.S. NAVY
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 3RD MED BN, 3RD MLG HANSEN CLINIC, UNIT 38448
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City | OKINAWA
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State | FPO
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Zip | AP
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Country | JP
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Telephone | 011947234960
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Fax |
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Provider Business Mailing Address
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Address Line | 3RD MED BN, 3RD MLG HANSEN CLINIC, UNIT 38448
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City | OKINAWA
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State | FPO
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Zip | AP
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Country | JP
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Telephone | 011947234960
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Fax |
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Authorized Official
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Title or Position | INDEPENDENT DUTY CORPSMAN
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Name | MR. MICHAEL ALBERT ARROYO JR.
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Credential |
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Telephone | 7234960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1102X
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Taxonomy Name | Military Outpatient Operational (Transportable) Component Clinic/Center
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License Number |
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License Number State |
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