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General NPI Number Information
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NPI Number | 1285754002
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Entity Type | Organization
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Legal Business Name | LABORATORIO CENTRAL DE LEVITTOWN,CORP
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | AVE BOULEVARD W9 LEVITTOWN APT 51510 LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00950-1510
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Country | US
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Telephone | 787-784-5004
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Fax | 787-795-6252
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Provider Business Mailing Address
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Address Line | AVE BOULEVARD W9 LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00950-1510
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS A RAMOS
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Credential |
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Telephone | 787-784-5004
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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 | 326
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License Number State | PR
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