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General NPI Number Information
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NPI Number | 1497143721
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO LEBRON, INC.
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | AVE EMERITO ESTRADA EDIF SAN SEBASTIAN MEDICAL K 21 9
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-2360
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Country | US
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Telephone | 787-896-7777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9975
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City | ARECIBO
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State | PR
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Zip | 00613-9975
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Country | US
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Telephone | 787-896-2195
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Fax | 787-896-2195
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VINCENZO FERRANTE RUIZ
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Credential |
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Telephone | 787-412-7111
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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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