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General NPI Number Information
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NPI Number | 1043032345
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Entity Type | Organization
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Legal Business Name | LABORATORIO NEOCLINICO 2, INC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | CARR 861 KM 6.4 LOCAL 2 SECTOR PINAS BO MUCARABONES
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City | TOA ALTA
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State | PR
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Zip | 00953-9999
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Country | US
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Telephone | 787-925-1840
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 164 PO BOX 4002
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City | VEGA ALTA
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State | PR
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Zip | 00692-4002
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Country | US
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Telephone | 787-925-1840
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | MRS. DARLING T PANTOJA MARRERO
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Credential |
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Telephone | 787-925-1840
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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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