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General NPI Number Information
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NPI Number | 1780628453
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO GARCIA INC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 21 CALLE RUIZ BELVIS
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City | CABO ROJO
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State | PR
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Zip | 00623-4029
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Country | US
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Telephone | 787-851-1362
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Fax | 787-851-1391
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Provider Business Mailing Address
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Address Line | RUIZ BELVIS #21 PO BOX 609
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City | CABO ROJO
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State | PR
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Zip | 00623-0609
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Country | US
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Telephone | 787-851-1362
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Fax | 787-851-1391
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Authorized Official
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Title or Position | DIRECTOR
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Name | NIVIA E GARCIA
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Credential | M.T.
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Telephone | 787-851-1362
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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 | 348
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License Number State | PR
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