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General NPI Number Information
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NPI Number | 1992109177
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Entity Type | Organization
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Legal Business Name | MULTILAB TECHNOLOGIES CORP.
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Dates
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Enumeration Date | 10/16/2014
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | CALLE 31 KM 4.0
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City | NAGUABO
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State | PR
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Zip | 00718
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Country | US
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Telephone | 787-465-4800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 519
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City | SANTA ISABEL
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State | PR
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Zip | 00757-0519
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Country | US
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Telephone | 787-579-2041
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | ALBA I RIVERA
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Credential | MT
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Telephone | 787-579-2041
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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 | 1317
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License Number State | PR
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