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General NPI Number Information
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NPI Number | 1184673840
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO GINARA INC
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | SAN MARTIN 1253 JUAN BAIZ
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City | SAN JUAN
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State | PR
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Zip | 00924-4301
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Country | US
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Telephone | 787-750-5276
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Fax | 787-750-5351
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Provider Business Mailing Address
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Address Line | ROUND HILL 322 CRUZ DE MALTA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-750-5276
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Fax | 787-750-5351
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANWAR KHAFAGE
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Credential |
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Telephone | 787-750-5276
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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 | 1105
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License Number State | PR
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