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General NPI Number Information
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NPI Number | 1205849924
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO BARBOSA INC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 315 AVE BARBOSA
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City | SAN JUAN
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State | PR
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Zip | 00917-3306
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Country | US
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Telephone | 787-767-2145
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Fax | 787-751-9253
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Provider Business Mailing Address
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Address Line | #315 AVE BARBOSA
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City | SAN JUAN
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State | PR
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Zip | 00917-3306
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Country | US
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Telephone | 787-767-2145
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Fax | 787-751-9253
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PORFIRIO ROSADO JR.
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Credential | R.N.
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Telephone | 787-767-2145
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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 | 576
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License Number State | PR
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