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General NPI Number Information
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NPI Number | 1427345768
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Entity Type | Organization
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Legal Business Name | HEALTH LABORATORIES SERVICES INC
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | AVENIDA FRAGOSO 3F S-6 VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00983-0000
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Country | US
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Telephone | 787-750-7005
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Fax | 787-750-7005
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Provider Business Mailing Address
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Address Line | PO BOX 3310
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City | CAROLINA
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State | PR
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Zip | 00984-3310
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Country | US
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Telephone | 787-762-4786
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Fax | 787-752-3360
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JUAN CARLOS HERNANDEZ
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Credential |
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Telephone | 787-762-4786
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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 | 547
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License Number State | PR
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