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General NPI Number Information
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NPI Number | 1679828818
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Entity Type | Organization
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Legal Business Name | DSI LABS ,INC
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 1266 AVE MUNOZ RIVERA
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City | PONCE
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State | PR
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Zip | 00717-0642
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Country | US
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Telephone | 787-840-0004
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Fax | 787-840-5244
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Provider Business Mailing Address
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Address Line | PO BOX 3464
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City | LAJAS
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State | PR
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Zip | 00667-3464
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Country | US
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Telephone | 787-493-2003
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Fax | 787-493-2003
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAMIAN E SANCHEZ IRIZARRY
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Credential |
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Telephone | 787-675-4604
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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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