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General NPI Number Information
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NPI Number | 1528237567
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO BIO TECH II, INC
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | CALLE A BLQ A-15 RIO GRANDE ESTATE
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-421-7315
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Fax | 787-888-1253
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Provider Business Mailing Address
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Address Line | RIO GRANDE ESTATE 11416 CALLE REY LUIS
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-421-7315
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Fax | 787-888-1253
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Authorized Official
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Title or Position | OWNER
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Name | FLAVIA ROSADO
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Credential |
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Telephone | 787-421-7315
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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 | 1143
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License Number State | PR
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