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General NPI Number Information
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NPI Number | 1053383216
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO ADAMS
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | CARRATERA #2 KM 122.0 BARRIO CORRALES FRENTE ESCUELA ADAMS
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City | AGUADILLA
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State | PR
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Zip | 00605
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Country | US
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Telephone | 787-882-5975
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3088
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City | AGUADILLA
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State | PR
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Zip | 00605
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Country | US
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Telephone | 787-882-5975
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Fax |
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Authorized Official
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Title or Position | PROPIETARIO
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Name | MR. IVAN A LOPENENA BAIRETO
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Credential | PROPIETARIO
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Telephone | 787-882-5915
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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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