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General NPI Number Information
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NPI Number | 1184170458
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Entity Type | Organization
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Legal Business Name | EXCEL MEDICINE INC
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 4035 EVERGREEN VILLAGE SQUARE ST # 60
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City | SAN JOSE
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State | CA
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Zip | 95135
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Country | US
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Telephone | 669-333-9995
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Fax | 408-693-3630
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Provider Business Mailing Address
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Address Line | 4035 EVERGREEN VILLAGE SQUARE ST # 60
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City | SAN JOSE
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State | CA
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Zip | 95135
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Country | US
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Telephone | 669-333-9995
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Fax | 408-693-3630
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAILENDER SINGH
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Credential | M.D
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Telephone | 669-333-9995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A100673
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License Number State | CA
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