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General NPI Number Information
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NPI Number | 1073657854
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Entity Type | Organization
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Legal Business Name | WHITE BIGIO INC.
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | AVE 54 KM .9 LA FUENTE TOWN CENTER APTDO. 11108
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-866-6470
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Fax | 787-866-6471
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Provider Business Mailing Address
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Address Line | AVE 54 KM .9 LA FUENTE TOWN CENTER APTDO. 11108
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-866-6470
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Fax | 787-866-6471
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARLOS R. WHITE
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Credential |
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Telephone | 787-866-6470
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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 | 1075
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License Number State | PR
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