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General NPI Number Information
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NPI Number | 1841491230
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Entity Type | Organization
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Legal Business Name | RT LABORATORIES LLC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | CARR 493 KM 0.5 BO. CARRIZALES MEDICAL AND PROFESSIONAL OFFICE PLAZA
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-880-5555
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Fax | 787-880-5555
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Provider Business Mailing Address
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Address Line | PO BOX 143943
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City | ARECIBO
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State | PR
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Zip | 00614-3943
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Country | US
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Telephone | 787-880-5555
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Fax | 787-880-5555
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROLANDO TORRES
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Credential |
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Telephone | 17878805555
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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 | 40D1061914
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License Number State | PR
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