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General NPI Number Information
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NPI Number | 1154443034
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Entity Type | Organization
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Legal Business Name | DEPARTAMENTO DE SALUD OFICIAL
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | LABORATORIO SALUD PUBLICA DE P.R. EDIFICIO A BO MONACILLO
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City | RIO PIEDRAS
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State | PR
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Zip | 00923
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Country | US
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Telephone | 787-274-5766
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Fax | 787-274-5711
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Provider Business Mailing Address
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Address Line | PO BOX 193044
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City | SAN JUAN
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State | PR
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Zip | 00919-3044
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Country | US
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Telephone | 787-945-1472
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Fax | 787-250-9265
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Authorized Official
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Title or Position | DIRECTOR EXECUTIVO
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Name | DR. CUIDUVEL DURAN
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Credential | MD
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Telephone | 787-745-1472
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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 | 1
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License Number State | PR
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