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General NPI Number Information
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NPI Number | 1174623953
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Entity Type | Organization
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Legal Business Name | LABORATORIO CARDIOVASCULAR DR. HECTOR COLOMBANY
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | CARR 111KM 2.5
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-877-2121
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Fax | 787-877-2145
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Provider Business Mailing Address
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Address Line | URB JARDINES DE BORINQUEN CALLE 1 D14
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City | AGUADILLA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-877-2121
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Fax | 787-877-2145
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Authorized Official
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Title or Position | OWNER
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Name | HECTOR J COLOMBANY
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Credential |
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Telephone | 787-877-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 12303
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License Number State | PR
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