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General NPI Number Information
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NPI Number | 1538393509
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Entity Type | Organization
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Legal Business Name | LAB Y BANCO DE SANGRE UMPIERRE
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 1801 ANEJO AVENIDA PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00909-1900
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Country | US
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Telephone | 787-706-2823
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 364367
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City | SAN JUAN
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State | PR
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Zip | 00936-4367
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Country | US
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Telephone | 787-706-2823
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Fax |
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Authorized Official
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Title or Position | MEDICAL TECHNICIAN
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Name | MR. ARTURO UMPIERRE
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Credential |
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Telephone | 787-706-2823
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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 | 379
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License Number State | PR
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