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NPI 1821485152

NPI 1821485152 : NAVAL HOSPITAL CAMP PENDLETON : CAMP PENDELTON, CA

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General NPI Number Information
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    NPI Number           |    1821485152
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAVAL HOSPITAL CAMP PENDLETON 
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Dates
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    Enumeration Date     |    04/24/2015
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    Last Update Date     |    03/09/2023
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Provider Practice Location Address
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    Address Line         |    HOSPITAL CAMP PENDELTON 200 MERCY CIRCLE
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    City                 |    CAMP PENDELTON
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    State                |    CA
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    Zip                  |    92055
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    Country              |    US
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    Telephone            |    760-719-3468
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    Fax                  |    760-725-0231
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Provider Business Mailing Address
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    Address Line         |    200 MERCY CIRCLE 
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    City                 |    CAMP PENDLETON
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    State                |    CA
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    Zip                  |    92055-2098
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    Country              |    US
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    Telephone            |    619-532-8400
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    Fax                  |    760-725-0231
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Authorized Official
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    Title or Position    |    CHIEF DHA POSC
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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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