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General NPI Number Information
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NPI Number | 1689838732
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO CHEGAR INC
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | CALLE CORCHADO FINAL 1 PUEBLO
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City | CANOVANAS
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State | PR
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Zip | 00729-1631
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Country | US
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Telephone | 787-886-3659
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1631
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City | CANOVANAS
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State | PR
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Zip | 00729-1631
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Country | US
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Telephone | 787-886-3659
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Fax | 787-886-3659
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Authorized Official
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Title or Position | DIRECTORA
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Name | MRS. CARMEN J CEPEDA
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Credential | B.S.,MT.,AS.CP.
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Telephone | 787-809-4697
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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 | 00961
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License Number State | PR
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