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General NPI Number Information
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NPI Number | 1831132844
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Entity Type | Organization
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Legal Business Name | ARECIBO PATHOLOGY SERVICES CSP
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | CALLE JOSE C. VAZQUEZ ESQUINA TROYER BO CAONILLAS
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City | AIBONITO
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State | PR
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Zip | 00705-9998
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Country | US
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Telephone | 787-735-7004
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Fax | 787-735-7005
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Provider Business Mailing Address
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Address Line | PO BOX 2188
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City | COAMO
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State | PR
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Zip | 00769-4188
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Country | US
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Telephone | 787-735-7004
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Fax | 787-891-2365
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Authorized Official
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Title or Position | PRESIDENTE- AUTHORIZED OFFCIAL
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Name | KATHERINE DAVILA
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Credential | MD
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Telephone | 787-735-7004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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