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General NPI Number Information
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NPI Number | 1043681299
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Entity Type | Organization
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Legal Business Name | HV LABS LLC
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | CARR 188 KM 1.5
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City | CANOVANAS
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State | PR
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Zip | 00729
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Country | US
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Telephone | 787-257-0709
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3628
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City | CAROLINA
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State | PR
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Zip | 00984-3628
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Country | US
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Telephone | 787-257-0709
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADOR
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Name | MR. ANGEL VALE
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Credential |
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Telephone | 787-257-0709
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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 | 362980
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License Number State | PR
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