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General NPI Number Information
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NPI Number | 1144208216
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Entity Type | Organization
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Legal Business Name | QUIMED CORP
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | AVE BORINQUEN 2036 BO OBRERO SANTURCE
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City | SAN JUAN
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State | PR
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Zip | 00915
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Country | US
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Telephone | 787-726-0397
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Fax | 787-726-0397
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Provider Business Mailing Address
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Address Line | PO BOX 7056 AVENIDA BORINQUEN 2036 BO. OBRERO SANTURCE
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City | SAN JUAN
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State | PR
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Zip | 00916-7056
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Country | US
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Telephone | 787-726-0397
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Fax | 787-726-0397
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Authorized Official
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Title or Position | DUENA
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Name | NORMA I PACHECO RODRIGUEZ
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Credential | MT MS
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Telephone | 787-726-0397
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 559
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License Number State | PR
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