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General NPI Number Information
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NPI Number | 1285990952
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Entity Type | Organization
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Legal Business Name | MEDITECH3 CLINICAL LABORATORIES INC
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Dates
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Enumeration Date | 04/07/2012
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | #845 AVE. ITURREGUI URB. EXT COUNTRY CLUB
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-773-1273
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Fax |
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Provider Business Mailing Address
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Address Line | B14 CALLE UCAR URB.SANTA CLARA
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City | GUAYNABO
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State | PR
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Zip | 00969-6847
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Country | US
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Telephone | 787-501-0041
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | ANABELL ESCANIO GONZALEZ
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Credential |
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Telephone | 787-948-6665
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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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