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General NPI Number Information
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NPI Number | 1184377426
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO GALIZA INC
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | CENTRO COMERCIAL LA TERRAZA LOCAL 5 CARRETERA PR 165 KM 4.7 BO QUEBRADA CRUZ
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-625-2200
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Fax | 939-333-3477
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Provider Business Mailing Address
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Address Line | URB VILLA MATILDE CALLE 1 A10
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-625-2200
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Fax | 939-333-3477
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Authorized Official
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Title or Position | SUPERVISOR
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Name | LISAMAR ROLON GUZMAN
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Credential |
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Telephone | 787-625-2200
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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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