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General NPI Number Information
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NPI Number | 1932382223
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Entity Type | Organization
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Legal Business Name | USS KITTY HAWK
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | USS KITTY HAWK CV 63 MEDICAL
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City | FPO
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State | AP
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Zip | 96634-2770
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Country | JP
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Telephone | 01181468166653
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Fax |
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Provider Business Mailing Address
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Address Line | USS KITTY HAWK CV 63 MEDICAL
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City | FPO
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State | AP
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Zip | 96634-2770
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Country | JP
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Telephone | 01181468166653
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Fax |
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Authorized Official
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Title or Position | SENIOR MEDICAL OFFICER
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Name | DR. RAYMOND BATZ
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Credential |
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Telephone | 01181468166653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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