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General NPI Number Information
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NPI Number | 1871646232
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO CAGUAS CENTRO INC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 48 CALLE CELIS AGUILERA
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City | CAGUAS
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State | PR
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Zip | 00725-2611
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Country | US
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Telephone | 787-745-5995
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Fax | 787-743-5893
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Provider Business Mailing Address
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Address Line | PO BOX 522
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City | CAGUAS
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State | PR
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Zip | 00726-0522
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Country | US
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Telephone | 787-745-5995
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Fax | 787-743-5893
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | MRS. PRISCILLA ROSA PANIAGUA
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Credential | B.S.M.T.
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Telephone | 787-745-5995
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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 | 82
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License Number State | PR
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