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General NPI Number Information
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NPI Number | 1073125068
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO JAIMAR II INC
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | CARR 4416 KM 0.6 BO PIEDRAS BLANCAS
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-252-0000
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Fax | 787-252-0000
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Provider Business Mailing Address
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Address Line | HC 3 BOX 32993
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City | AGUADA
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State | PR
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Zip | 00602-9763
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Country | US
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Telephone | 787-252-0000
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Fax | 787-252-0000
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Authorized Official
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Title or Position | OWNER
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Name | JOANN CHAPRRO
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Credential | MT
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Telephone | 787-252-0000
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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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