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General NPI Number Information
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NPI Number | 1023347507
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO BELLA VISTA DE CIALES INC
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | CARR. PR 149 KM 17.9 BARRIO PESAS SECTOR BELLA VISTA
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City | CIALES
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State | PR
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Zip | 00638
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Country | US
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Telephone | 787-871-1775
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1328
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City | CIALES
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State | PR
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Zip | 00638-1328
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Country | US
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Telephone | 787-871-1775
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALDO ROSARIO
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Credential |
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Telephone | 787-871-1775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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