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General NPI Number Information
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NPI Number | 1992583959
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Entity Type | Organization
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Legal Business Name | CB LABORATORY,LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | EDF.PASEO CARIBE 15 AVE.LUIS MUNOZ RIVERA LOCAL 100C
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City | SAN JUAN
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State | PR
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Zip | 00901
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Country | US
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Telephone | 787-645-4297
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CALLE A URB.GARCIA
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-948-6665
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | ANABELL ESCANIO GONZALEZ
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Credential |
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Telephone | 787-948-6665
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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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