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General NPI Number Information
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NPI Number | 1356074314
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO AILI
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 9 CALLE RIUS RIVERA
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City | ADJUNTAS
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State | PR
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Zip | 00601-2338
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Country | US
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Telephone | 787-829-4004
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1130
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City | ADJUNTAS
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State | PR
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Zip | 00601-1130
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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 | DIRECTOR
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Name | MRS. AILI PLAZA
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Credential | MT
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Telephone | 787-829-4004
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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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