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General NPI Number Information
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NPI Number | 1497044903
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO ACROPOLIS DE CIALES INC.
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | CARR. PR-149, KM 17.9 BO. PESAS SECTOR BELLA VISTA
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City | CIALES
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State | PR
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Zip | 00638
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Country | US
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Telephone | 787-917-0481
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Fax | 787-854-2820
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Provider Business Mailing Address
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Address Line | PMB 200 P.O. BOX 30500
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-917-0481
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Fax | 787-854-2820
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MS. REBECA MALDONADO
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Credential |
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Telephone | 787-917-0481
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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 | 1211
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License Number State | PR
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