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General NPI Number Information
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NPI Number | 1205658705
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO IRIZARRY GUASCH INC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 99 CENTRAL CARR 14 BO COTO LAUREL
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City | PONCE
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State | PR
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Zip | 00780-1176
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Country | US
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Telephone | 787-808-6701
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Fax | 787-899-1861
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Provider Business Mailing Address
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Address Line | PO BOX 593
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City | LAJAS
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State | PR
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Zip | 00667-0593
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Country | US
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Telephone | 787-899-7223
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Fax | 787-899-1861
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Authorized Official
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Title or Position | SECRETARIA CORPORACION
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Name | MRS. NILSA I IRIZARRY GUASCH
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Credential |
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Telephone | 787-899-7223
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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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