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NPI 1952315657

NPI 1952315657 : GLOBAL DIAGNOSTICS, INC : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1952315657
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    Entity Type          |    Organization 
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    Legal Business Name  |    GLOBAL DIAGNOSTICS, INC 
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Dates
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    Enumeration Date     |    07/28/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    848 CALLE HOSTOS URB. HYDE PARK
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00927-4216
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    Country              |    US
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    Telephone            |    787-758-8018
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    Fax                  |    787-758-0048
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Provider Business Mailing Address
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    Address Line         |    848 CALLE HOSTOS URB. HYDE PARK
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00927-4216
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    Country              |    US
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    Telephone            |    787-758-8018
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    Fax                  |    787-758-0048
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR & COO
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    Name                 |     MARIO ESTUARDO MIJANGOS 
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    Credential           |    
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    Telephone            |    407-466-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    293D00000X
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    Taxonomy Name        |    Physiological Laboratory
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    License Number       |    
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    License Number State |    PR
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