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General NPI Number Information
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NPI Number | 1124965926
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Entity Type | Organization
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Legal Business Name | MEDICAL MANAGEMENT PARTNERS LLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 6925 SC-707 SUITE A
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-7310
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Country | US
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Telephone | 843-233-9609
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Fax |
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Provider Business Mailing Address
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Address Line | 6925 SC-707 SUITE A
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-7310
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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 | MGMR
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Name | DR. JASON MARUCCI
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Credential | DC
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Telephone | 561-222-8208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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