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General NPI Number Information
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NPI Number | 1992676639
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Entity Type | Organization
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Legal Business Name | HAUSS & MODETZ INC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 47477 ROMEO PLANK RD
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City | MACOMB
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State | MI
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Zip | 48044-2816
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Country | US
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Telephone | 586-263-3100
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Fax | 586-263-3088
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Provider Business Mailing Address
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Address Line | 47477 ROMEO PLANK RD
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City | MACOMB
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State | MI
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Zip | 48044-2816
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Country | US
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Telephone | 586-263-3100
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Fax | 586-263-3088
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Authorized Official
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Title or Position | OWNER/FUNERAL DIRECTOR
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Name | DARCI BADGERO-FENNELL
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Credential | LICENSED FUNERAL DIR
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Telephone | 586-263-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176P00000X
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Taxonomy Name | Funeral Director
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License Number |
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License Number State |
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