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General NPI Number Information
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NPI Number | 1396813168
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Entity Type | Organization
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Legal Business Name | LAB CLINICO CAGUAS NORTE
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CALLE LOPEZ FLOREZ URB PARADIS B OFIC # 3
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-746-1665
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1380 STREET LOPEZ FLORES
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-746-1665
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Fax |
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Authorized Official
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Title or Position | DUENA
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Name | MRS. MARIBEL RODRIGUEZ CORUJO
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Credential |
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Telephone | 787-746-1665
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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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