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General NPI Number Information
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NPI Number | 1487307195
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO LAVITA LLC
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | CARR #2 KM 160.9 BO. GUANAJIBO LOCAL 4
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 939-271-4978
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Fax | 787-831-5291
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Provider Business Mailing Address
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Address Line | 182 RAMON EMETERIO BETANCES SUR
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 939-271-4978
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Fax | 787-831-5291
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARGGIE RODRIGUEZ
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Credential |
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Telephone | 939-271-4978
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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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