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General NPI Number Information
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NPI Number | 1639796931
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Entity Type | Organization
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Legal Business Name | YAMILET I TROCHE DE HOYOS
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | CARRETERA #2 KM 138.4 BARRIO NARANJO
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City | AGUADA
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State | PR
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Zip | 00602-0000
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Country | US
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Telephone | 787-252-1176
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CALLE YAGUECA
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City | RINCON
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State | PR
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Zip | 00677-9605
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Country | US
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Telephone | 787-252-1176
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YAMILET I TROCHE
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Credential | MT
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Telephone | 787-252-1176
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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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