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General NPI Number Information
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NPI Number | 1508640392
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Entity Type | Organization
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Legal Business Name | E & W INC
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | PARCELA 129A, 779 RD. KM 7.7 BARRIO PALOMAS
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City | COMERIO
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State | PR
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Zip | 00782
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Country | US
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Telephone | 787-361-0961
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1345 PMB 293
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City | TOA ALTA
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State | PR
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Zip | 00954
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Country | US
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Telephone | 787-361-0961
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDMARIE DE LEON
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Credential | MS MT ASCP
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Telephone | 787-361-0961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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