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General NPI Number Information
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NPI Number | 1245230226
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO IRIZARRY GUASCH
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 CALLE PROVIDENCIA BARRERO
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-2146
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Country | US
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Telephone | 787-896-6520
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 125
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City | LAJAS
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State | PR
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Zip | 00667-0125
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Country | US
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Telephone | 787-899-7222
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Fax | 787-899-2900
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Authorized Official
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Title or Position | OWNER
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Name | NILSA INZARRY GUASH
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Credential |
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Telephone | 787-899-7222
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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 | 644
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License Number State | PR
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