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General NPI Number Information
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NPI Number | 1184550329
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Entity Type | Organization
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Legal Business Name | EXCELL COMMUNITY NETWORK, INC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 5138 TENNESSEE ST
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City | GARY
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State | IN
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Zip | 46409-2957
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Country | US
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Telephone | 219-613-4774
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10182
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City | MERRILLVILLE
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State | IN
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Zip | 46411-0182
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Country | US
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Telephone | 219-613-4774
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERICA WOODLEY
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Credential |
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Telephone | 219-613-4774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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