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General NPI Number Information
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NPI Number | 1962643577
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Entity Type | Individual
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Provider Name | JERUSHA ARBOLEDA MT (ASCP)
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Gender | Female
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | C-2 ALEJANDRINO - CLEMENTINA
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City | GUAYNABO
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State | PR
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Zip | 00969-4704
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Country | US
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Telephone | 787-503-1304
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Fax | 787-200-0391
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Provider Business Mailing Address
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Address Line | C-2 ALEJANDRINO - CLEMENTINA
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City | GUAYNABO
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State | PR
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Zip | 00969-4704
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Country | US
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Telephone | 787-503-1304
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Fax | 787-200-0391
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 447
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License Number State | PR
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