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General NPI Number Information
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NPI Number | 1679252977
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Entity Type | Organization
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Legal Business Name | LAZOS TERAPEUTICOS, LLC
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 30 CALLE PADIAL STE 132
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City | CAGUAS
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State | PR
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Zip | 00725-3807
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Country | US
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Telephone | 787-586-3845
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 716
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City | CAGUAS
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State | PR
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Zip | 00726-0716
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Country | US
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Telephone | 787-586-3845
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SYLVIA M VILA
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Credential |
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Telephone | 787-586-3845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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