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General NPI Number Information
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NPI Number | 1174665046
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Entity Type | Organization
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Legal Business Name | JOSE N TOLEDO GARCIA
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | CALLE BARCELO #39
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City | UTUADO
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State | PR
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Zip | 00641
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Country | US
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Telephone | 787-894-4005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1913
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City | UTUADO
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State | PR
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Zip | 00641-1913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. NELSON TOLEDO
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Credential |
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Telephone | 787-894-4005
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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 | 767
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License Number State | PR
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