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General NPI Number Information
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NPI Number | 1770581985
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO CLAUSELLS
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 333 CALLE VICTORIA
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City | PONCE
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State | PR
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Zip | 00730-2860
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Country | US
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Telephone | 787-841-1401
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Fax | 787-840-5901
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Provider Business Mailing Address
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Address Line | 333 CALLE VICTORIA
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City | PONCE
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State | PR
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Zip | 00730-2860
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Country | US
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Telephone | 787-841-1401
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Fax | 787-840-5901
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. WILLIAM GUZMAN GARCIA
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Credential |
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Telephone | 787-841-1401
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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 | 777
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License Number State | PR
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