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General NPI Number Information
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NPI Number | 1952989972
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO RODRIGUEZ N LLC
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | CORR 653 KM 3-1 BO HATO ABAJO
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-878-1717
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Fax | 787-878-1717
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Provider Business Mailing Address
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Address Line | PO BOX 140297
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City | ARECIBO
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State | PR
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Zip | 00614
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Country | US
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Telephone | 787-922-0536
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Fax | 787-878-1717
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Authorized Official
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Title or Position | PRESIDENTA
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Name | MRS. EDDA A NUNEZ
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Credential |
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Telephone | 787-922-0536
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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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