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General NPI Number Information
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NPI Number | 1235812801
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO LA FE LLC
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | LA FE PLAZA CARRETERA PR 510 KM. 2.10 BARRIO SABANA LLANA
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-562-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 39 CALLE LAGO CERRILLOS
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City | COTO LAUREL
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State | PR
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Zip | 00780-2537
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Country | US
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Telephone | 787-562-3211
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRENDA L COREANO BURGOS
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Credential |
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Telephone | 787-562-3211
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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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