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General NPI Number Information
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NPI Number | 1770907040
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Entity Type | Individual
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Provider Name | IVONNE BERLINGERI
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Gender | Female
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | MM9 CALLE 420
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City | CAROLINA
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State | PR
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Zip | 00982-1855
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Country | US
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Telephone | 787-294-5164
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Fax | 787-294-5165
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Provider Business Mailing Address
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Address Line | RES LOPEZ SICARDO # 771 DOS PINOS
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City | SAN JUAN
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State | PR
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Zip | 00923-2206
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Country | US
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Telephone | 787-294-5164
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Fax | 787-294-5165
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number | 6425
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License Number State | PR
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