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General NPI Number Information
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NPI Number | 1649439548
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Entity Type | Organization
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Legal Business Name | CC HEALTH LLC
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 1045 ANDREW DRIVE SUITE A
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City | WEST CHESTER
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State | PA
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Zip | 19380
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Country | US
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Telephone | 610-701-9007
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Fax | 610-701-9009
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Provider Business Mailing Address
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Address Line | 1045 ANDREW DRIVE SUITE A
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City | WEST CHESTER
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State | PA
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Zip | 19380
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Country | US
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Telephone | 610-701-9007
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Fax | 610-701-9009
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Authorized Official
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Title or Position | EXECUTIVE VP SCIENCE AND TECHNOLOGY
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Name | MR. TONY ALBINO
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Credential | PH.D.
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Telephone | 212-486-0040
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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 | 028371
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 028371A
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License Number State | PA
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