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General NPI Number Information
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NPI Number | 1831251677
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Entity Type | Organization
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Legal Business Name | LABORATORIO GARCIA CORPORATION
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 67 CALLE 65 DE INFANTERIA
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-826-2360
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Fax | 787-826-6822
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Provider Business Mailing Address
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Address Line | PO BOX 540
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City | ANASCO
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State | PR
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Zip | 00610-0540
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Country | US
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Telephone | 787-826-2360
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Fax | 787-826-6822
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Authorized Official
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Title or Position | GENERAL SUPERVISOR
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Name | MRS. MARICELLY GARCIA
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Credential | BSMT
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Telephone | 787-826-2360
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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 | 514
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License Number State | PR
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