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General NPI Number Information
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NPI Number | 1316928559
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO NAZARRY INC
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | CALLE 65 DE INTANTERIA #47 PLAZA DEL VALLE STE 006
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-899-1483
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Fax | 787-899-1483
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Provider Business Mailing Address
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Address Line | HC 1 BOX 3401
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City | ADJUNTAS
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State | PR
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Zip | 00601-9535
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Country | US
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Telephone | 787-899-1483
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Fax | 787-899-1483
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Authorized Official
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Title or Position | ENCARGADO
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Name | EDGARDO L CUEVAS
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Credential |
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Telephone | 787-899-1483
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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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