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General NPI Number Information
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NPI Number | 1477394674
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO ANTILLANOS LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | CARR. 860 ESQ. AVE. A LOCAL 9 URB. METROPOLIS
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-622-3047
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Fax |
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Provider Business Mailing Address
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Address Line | 2MR587 VIA 3
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City | CAROLINA
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State | PR
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Zip | 00983-3873
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Country | US
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Telephone | 939-415-2244
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MS. KARLA M APONTE
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Credential | MT
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Telephone | 939-415-2244
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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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