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General NPI Number Information
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NPI Number | 1568112373
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Entity Type | Organization
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Legal Business Name | LABORATORIO AMADOR LLC
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | CARR 149 KM 18.7 BO. PESAS
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City | CIALES
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State | PR
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Zip | 00638
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Country | US
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Telephone | 787-949-9088
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1556
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City | ARECIBO
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State | PR
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Zip | 00613-1556
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Country | US
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Telephone | 787-949-9088
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CAROLINA AMADOR VAZQUEZ
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Credential | MLS, BA
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Telephone | 787-949-9088
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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 |
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License Number State |
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