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General NPI Number Information
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NPI Number | 1437104346
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Entity Type | Organization
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Legal Business Name | PULMO LAB
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2225 PONCE BYP STE 702
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City | PONCE
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State | PR
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Zip | 00717-1321
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Country | US
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Telephone | 787-843-7105
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Fax | 787-844-0225
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Provider Business Mailing Address
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Address Line | 2225 PONCE BYP STE 702
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City | PONCE
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State | PR
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Zip | 00717-1321
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Country | US
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Telephone | 787-843-7105
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Fax | 787-844-0225
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HECTOR R ROSADO-TOLEDO
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Credential | MD, FACP, FCCP
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Telephone | 787-840-8284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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