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General NPI Number Information
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NPI Number | 1174393623
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Entity Type | Individual
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Provider Name | ZERILOANY ORTIZ ROSADO MLS (ASCP)
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Gender | Female
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | CARRETERA 102, KM 36.0, BO. MINILLAS
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 939-269-1303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1557
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City | SAN GERMAN
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State | PR
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Zip | 00683-1557
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Country | US
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Telephone | 939-269-1303
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 8468
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License Number State | PR
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