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General NPI Number Information
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NPI Number | 1033177720
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Entity Type | Organization
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Legal Business Name | EXCELLA HEALTHCARE, INC.
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 35 NEW ENGLAND BUSINESS CENTER DR., SUITE 207
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City | ANDOVER
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State | MA
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Zip | 01810-1071
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Country | US
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Telephone | 978-388-4500
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Fax | 978-388-8255
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Provider Business Mailing Address
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Address Line | 6688 N CENTRAL EXPRESSWAY SUITE 1300
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City | DALLAS
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State | TX
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Zip | 75206-3950
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Country | US
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Telephone | 214-239-6500
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, LICENSING & ENROLLMENT
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Name | LISA M ARBUCKLE
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Credential |
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Telephone | 214-239-6501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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