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General NPI Number Information
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NPI Number | 1841398724
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO BORGES II
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 66 CALLE GEORGETTI SUITE 201
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City | SAN JUAN
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State | PR
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Zip | 00925-3526
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Country | US
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Telephone | 787-758-0304
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Fax |
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Provider Business Mailing Address
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Address Line | 66 CALLE GEORGETTI SUITE 201
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City | SAN JUAN
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State | PR
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Zip | 00925-3526
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Country | US
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Telephone | 787-758-0304
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. IRIS GONZALEZ DE BORGES
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Credential |
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Telephone | 787-758-0304
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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 | 0618
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License Number State | PR
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