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General NPI Number Information
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NPI Number | 1538229265
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO SILMEND I
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | CALLE BARCELO 59
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City | VILLALBA
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State | PUERTO RICO
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Zip | 00766
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Country | UM
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Telephone | 787-847-0150
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Fax | 787-847-0150
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Provider Business Mailing Address
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Address Line | CALLE BARCELO 59
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City | VILLALBA
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State | PUERTO RICO
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Zip | 00766
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Country | UM
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Telephone | 787-847-0150
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Fax | 787-847-0150
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. NORMA I. SILVAGNOLI COLLAZO
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Credential | BSMT
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Telephone | 787-847-0150
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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 | 387
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License Number State | PR
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