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General NPI Number Information
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NPI Number | 1477259893
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Entity Type | Organization
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Legal Business Name | LABORATORIO ALHAMBRA, LLC
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 104 COMERCIO
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-837-0556
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Fax | 787-837-5279
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Provider Business Mailing Address
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Address Line | P.O. BOX 518
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-837-0556
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Fax | 787-837-5879
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIA J LOPEZ
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Credential |
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Telephone | 787-487-7383
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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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