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General NPI Number Information
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NPI Number | 1386773729
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO P CENTRO INC
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 233 AVE RAFAEL CORDERO
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City | CAGUAS
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State | PR
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Zip | 00725-3730
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Country | US
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Telephone | 787-258-9052
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Fax |
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Provider Business Mailing Address
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Address Line | 233 AVE RAFAEL CORDERO STE 6
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City | CAGUAS
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State | PR
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Zip | 00725-3730
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Country | US
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Telephone | 787-258-9052
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Fax | 877-779-7880
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DAMARIS DEFENDINI
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Credential | M.T.
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Telephone | 787-258-9052
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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 | 827
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License Number State | PR
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