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General NPI Number Information
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NPI Number | 1235483777
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Entity Type | Organization
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Legal Business Name | EXCEL HEALTH SYSTEMS LLC
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 10735 ROOSEVELT STREET
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City | CLINTON
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State | LA
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Zip | 70722
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Country | US
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Telephone | 225-683-9851
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 707
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City | CLINTON
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State | LA
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Zip | 70722-0707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MISS NATASHIA CHEATHAM
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Credential | MHSA
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Telephone | 225-244-0657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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