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General NPI Number Information
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NPI Number | 1982931317
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Entity Type | Organization
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Legal Business Name | CARLOS J FEBLES MENA
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | CARR# 693 KM 8.4 MARGINAL COSTA DE ORO LOCAL A-6
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-796-2282
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Fax | 787-796-8086
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Provider Business Mailing Address
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Address Line | M10 CALLE ESTRELLA DEL MAR DORADO DEL MAR
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City | DORADO
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State | PR
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Zip | 00646-2147
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Country | US
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Telephone | 787-796-2282
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Fax | 787-796-8086
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Authorized Official
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Title or Position | OWNER
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Name | MR. CARLOS J. FEBLES
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Credential |
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Telephone | 787-796-2282
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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 | 993
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License Number State | PR
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