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General NPI Number Information
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NPI Number | 1760550636
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Entity Type | Organization
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Legal Business Name | ACH BRIAN D ALLGOOD-PYEONGTAEK
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | UNIT 15244
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City | APO
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State | AP
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Zip | 96205-5244
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Country | US
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Telephone | 01182279171410
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Fax |
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Provider Business Mailing Address
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Address Line | UNIT 15244 BOX 316 ATTN UBO
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City | APO
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State | AP
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Zip | 96205-5244
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Country | US
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Telephone | 01182279171858
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Fax |
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Authorized Official
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Title or Position | UBO MANAGER
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Name | JAMES KLINE
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Credential |
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Telephone | 11-822-7917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1100X
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Taxonomy Name | Military/U.S. Coast Guard Outpatient Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1101X
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Taxonomy Name | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2865M2000X
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Taxonomy Name | Military General Acute Care Hospital
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License Number |
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License Number State |
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