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General NPI Number Information
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NPI Number | 1437246287
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Entity Type | Individual
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Provider Name | MOHAMMEDYUSUF MODAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 2003 S EASTON RD STE 308
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City | DOYLESTOWN
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State | PA
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Zip | 18901-7100
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Country | US
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Telephone | 215-876-5015
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Fax |
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Provider Business Mailing Address
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Address Line | 223 MYSTIC PINE PL
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City | APEX
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State | NC
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Zip | 27539-7800
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Country | US
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Telephone | 215-779-4009
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD436003
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License Number State | PA
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