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General NPI Number Information
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NPI Number | 1942900444
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO SALUD Y VIDA LLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | CARR 2 KM 43.3 BO. ALGARROBOS LOCAL 3
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-236-2380
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Fax |
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Provider Business Mailing Address
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Address Line | SAN DEMETRIO CALLE CASABE 152
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-915-5052
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | NAOMI SERRANO ESTADES
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Credential | MS, MT
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Telephone | 787-915-5052
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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 |
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License Number State |
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