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General NPI Number Information
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NPI Number | 1346460680
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Entity Type | Organization
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Legal Business Name | JEANNETTE S. TROCHE
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | PLAZA MONSERRATE 345 RD. KM. 2.1
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City | HORMIGUEROS
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State | PR
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Zip | 00660-1338
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Country | US
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Telephone | 787-849-1495
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Fax | 787-849-1495
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Provider Business Mailing Address
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Address Line | PO BOX 1338
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City | HORMIGUEROS
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State | PR
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Zip | 00660-1338
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Country | US
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Telephone | 787-849-1495
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Fax | 787-849-1495
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JEANNETTE SARAHI TROCHE
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Credential | M.T.
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Telephone | 787-849-1495
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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 | 953
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License Number State | PR
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