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General NPI Number Information
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NPI Number | 1730285255
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO IRIZARRY GUASCH INC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 65 INFANTERIA ESQUINA CONCORDIA 13
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-899-2309
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Fax | 787-899-0025
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Provider Business Mailing Address
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Address Line | PO BOX 125
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-899-7222
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Fax | 787-899-2900
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. JOSE RAFAEL SANCHEZ
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Credential |
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Telephone | 787-899-7222
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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 | 546
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License Number State | PR
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