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General NPI Number Information
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NPI Number | 1972411627
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO COLLAZO LLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | PR 818 KM 0.3 PLAZA DIVINA UNIT 3
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City | COROZAL
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State | PR
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Zip | 00783
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Country | US
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Telephone | 787-989-3138
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 213
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City | COROZAL
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State | PR
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Zip | 00783-0213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YESENIA COLLAZO
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Credential | MLS
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Telephone | 787-989-3138
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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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