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General NPI Number Information
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NPI Number | 1184642779
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Entity Type | Organization
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Legal Business Name | RECINTO DE CIENCIAS MEDICAS
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | EDIF PRINCIPAL RCM PISO 5 OFICINA 563 ESCUELA DE MEDICINA APTO. 29134
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City | RIO PIEDRAS
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State | PR
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Zip | 00935
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Country | US
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Telephone | 787-754-9165
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Fax | 787-274-8154
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Provider Business Mailing Address
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Address Line | LAB. HISTOPATOLOGIA PO BOX 29134
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City | SAN JUAN
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State | PR
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Zip | 00929-0134
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Country | US
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Telephone | 787-754-9165
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Fax | 787-274-8154
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MRS. MYRIAM TROCHE
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Credential | RHIA
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Telephone | 787-754-9165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207ZP0104X
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Taxonomy Name | Chemical Pathology Physician
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License Number |
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 40D0658324
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License Number State | PR
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