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General NPI Number Information
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NPI Number | 1023069671
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Entity Type | Organization
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Legal Business Name | EXCEL HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 330 MUNICIPAL DR # 104A
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City | RICHARDSON
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State | TX
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Zip | 75080-3541
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Country | US
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Telephone | 214-553-1205
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Fax | 972-664-0572
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Provider Business Mailing Address
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Address Line | 330 MUNICIPAL DR # 104A
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City | RICHARDSON
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State | TX
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Zip | 75080-3541
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Country | US
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Telephone | 214-553-1205
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Fax | 972-664-0572
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHERLY PHILIPOSE
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Credential |
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Telephone | 214-553-1205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 008070
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License Number State | TX
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