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General NPI Number Information
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NPI Number | 1841343134
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Entity Type | Organization
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Legal Business Name | LABORATORIO NOY
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 65 BARBOSA AVE SUITE 208
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-878-5077
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Fax | 787-878-5077
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Provider Business Mailing Address
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Address Line | PO BOX 142291
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City | ARECIBO
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State | PR
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Zip | 00614
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Country | US
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Telephone | 787-878-5077
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Fax | 787-878-5077
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Authorized Official
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Title or Position | DUENO
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Name | ADA G NOY
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Credential | MT
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Telephone | 787-878-5077
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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 | 510
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License Number State | PR
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