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General NPI Number Information
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NPI Number | 1235928698
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Entity Type | Organization
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Legal Business Name | CLINICA TERAPEUTICA CIED LLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | VILLA FONTANA 2VR 690 CALLE ANGELICA
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-397-8609
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Fax |
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Provider Business Mailing Address
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Address Line | VILLA FONTANA 2VR 690 CALLE ANGELICA
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-397-8609
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Fax |
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Authorized Official
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Title or Position | LICENCIADA
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Name | CAROL IVETTE ESCALERA DAVILA
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Credential | PATOLOGA DEL HABLA
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Telephone | 787-397-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number |
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License Number State |
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