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General NPI Number Information
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NPI Number | 1649926098
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Entity Type | Organization
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Legal Business Name | SECURE LABS LLC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 1836 STRAHLE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2323
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Country | US
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Telephone | 215-796-7950
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Fax |
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Provider Business Mailing Address
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Address Line | 1836 STRAHLE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2323
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Country | US
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Telephone | 215-796-7950
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LEKHA G PHILIP
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Credential | RN
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Telephone | 215-796-7950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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