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General NPI Number Information
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NPI Number | 1710399522
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO BIOMEDIC LLC
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | CARR #2 KM 16 H 1 BO CANDELARIA ARENA
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City | TOA BAJA
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State | PR
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Zip | 00949-0000
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Country | US
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Telephone | 787-200-9550
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Fax | 888-384-1004
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Provider Business Mailing Address
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Address Line | PO BOX 1203 SABANA SECA
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City | TOA BAJA
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State | PR
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Zip | 00951-1203
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Country | US
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Telephone | 787-200-9550
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Fax | 888-384-1004
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARLOS ANDRES GARCIA
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Credential |
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Telephone | 787-200-9550
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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 | 1259
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License Number State | PR
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