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General NPI Number Information
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NPI Number | 1376524629
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICA SAN FRANCISCO
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | CALLE COLON # 106
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City | AGUADA
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State | PR
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Zip | 00602-3166
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Country | US
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Telephone | 787-252-8330
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Fax |
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Provider Business Mailing Address
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Address Line | APDO 592
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-252-8330
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Fax |
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Authorized Official
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Title or Position | FACTURACION
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Name | MRS. GLORIA SANCHEZ
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Credential | SUPERVISOR
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Telephone | 787-252-8330
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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 | 981
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License Number State | PR
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