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General NPI Number Information
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NPI Number | 1841558137
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Entity Type | Organization
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Legal Business Name | 31ST MEDGRP-AVIANO
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | BUILDING 121 AVIANO AFB ITALY
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City | APO
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State | AE
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Zip | 09604-0245
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Country | US
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Telephone | 011390434305518
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 6180 BOX 245 MSA OFFICE
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City | APO
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State | AE
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Zip | 09603-0245
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Country | US
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Telephone | 011390434305518
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Fax |
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Authorized Official
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Title or Position | DHA UBO
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Name | JEN LEWANDOWSKI
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Credential |
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Telephone | 703-817-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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