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General NPI Number Information
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NPI Number | 1518328897
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO ANASCO INC.
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 58 CALLE DAGUEY
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-826-3072
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3132
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-826-3072
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Fax | 787-826-3072
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Authorized Official
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Title or Position | PRESIDENTA
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Name | NILSA IVETTE IRIZARRY
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Credential |
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Telephone | 787-826-3072
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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 | 690
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License Number State | PR
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