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General NPI Number Information
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NPI Number | 1851469613
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Entity Type | Organization
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Legal Business Name | ASHFORD ENDOCRINE & METABOLIC LABORATORY INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 29 WASHINGTON STREET SUITE 210
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-724-6816
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Fax | 787-724-7693
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Provider Business Mailing Address
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Address Line | 29 WASHINGTON STREET SUITE 210
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-724-6816
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Fax | 787-724-7693
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. YOLANDA COLON
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Credential |
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Telephone | 787-452-9504
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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 | 40D0658241
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 130
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License Number State | PR
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