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General NPI Number Information
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NPI Number | 1881938652
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Entity Type | Organization
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Legal Business Name | LANTHEUS MI RADIOPHARMACEUTICALS, INC.
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 150 CALLE FEDERICO COSTA STE 1
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City | SAN JUAN
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State | PR
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Zip | 00918-1339
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Country | US
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Telephone | 787-765-5598
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Fax | 787-763-4042
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Provider Business Mailing Address
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Address Line | 150 CALLE FEDERICO COSTA STE 1
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City | SAN JUAN
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State | PR
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Zip | 00918-1339
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Country | US
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Telephone | 787-765-5598
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Fax | 787-763-4042
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Authorized Official
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Title or Position | DIRECTOR OPERATIONS
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Name | JOEL A CORDERO
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Credential | RPH, BCNP
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Telephone | 787-765-5598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336N0007X
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Taxonomy Name | Nuclear Pharmacy
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License Number | 13-F-2719
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License Number State | PR
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