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General NPI Number Information
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NPI Number | 1952190258
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Entity Type | Organization
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Legal Business Name | MODERN MEDICAL HEALTHCARE SERVICES L.L.C
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 7046 MARSHALL RD FL 1
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City | UPPER DARBY
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State | PA
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Zip | 19082-4928
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Country | US
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Telephone | 877-663-6330
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Fax | 215-714-9785
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Provider Business Mailing Address
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Address Line | 7046 MARSHALL RD FL 1
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City | UPPER DARBY
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State | PA
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Zip | 19082-4928
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Country | US
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Telephone | 877-663-6330
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Fax | 215-714-9785
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Authorized Official
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Title or Position | CEO
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Name | BETTYANN BEST
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Credential |
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Telephone | 877-663-6330
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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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