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General NPI Number Information
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NPI Number | 1265916605
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO BARRAZAS INC
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 09/21/2018
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Provider Practice Location Address
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Address Line | A2 AVENIDA ROBERTO SANCHEZ VILELLA CASTELLANA GARDEN
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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 | 787-985-1710
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Fax |
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Provider Business Mailing Address
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Address Line | HC 645 BOX 6344
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-349-7841
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Fax |
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Authorized Official
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Title or Position | MT
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Name | YADITH DEL VALLE
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Credential |
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Telephone | 787-776-1300
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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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