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General NPI Number Information
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NPI Number | 1609928548
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO HERMANAS RODRIGUEZ INC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARR 156 KM 49.4 BO SUMIDERO
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-0307
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Country | US
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Telephone | 787-732-0467
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Fax | 787-732-0210
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-0307
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Country | US
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Telephone | 787-732-0467
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Fax | 787-732-0210
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Authorized Official
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Title or Position | OWNER, MT
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Name | MYRNA RODRIGUEZ
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Credential |
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Telephone | 787-732-0467
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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 | PR
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