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General NPI Number Information
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NPI Number | 1295860740
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO TORRIVER
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1688 CALLE PARANA URB. EL CEREZAL
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City | SAN JUAN
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State | PR
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Zip | 00926-3144
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Country | US
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Telephone | 787-764-4970
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Fax |
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Provider Business Mailing Address
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Address Line | 1688 CALLE PARANA URB. EL CEREZAL
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City | SAN JUAN
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State | PR
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Zip | 00926-3144
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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 | SUPERVISOR
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Name | OLGA J ECHEVERRIA
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Credential |
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Telephone | 787-764-4970
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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 | 233
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License Number State | PR
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