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General NPI Number Information
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NPI Number | 1114251048
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO FIGUEROA P S C
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | CARR 155 # KM 58.5 BO. PUGNADO ADENTRO
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City | VEGA BAJA
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State | PR
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Zip | 00693-5243
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Country | US
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Telephone | 787-531-7673
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE GIRASOL #41 URB. LA ALIANZA
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City | MOROVIS
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State | PR
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Zip | 00687
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Country | US
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Telephone | 787-531-7673
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. CARLEN FIGUEROA
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Credential |
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Telephone | 787-531-7673
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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 | 6663
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License Number State | PR
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