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General NPI Number Information
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NPI Number | 1245147230
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Entity Type | Organization
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Legal Business Name | EXCELA PHYSICIANS NETWORK, INC.
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 101 W RENNER RD STE 420
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City | RICHARDSON
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State | TX
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Zip | 75082-2022
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Country | US
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Telephone | 469-242-2224
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Fax | 469-242-2227
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Provider Business Mailing Address
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Address Line | 101 W RENNER RD STE 420
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City | RICHARDSON
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State | TX
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Zip | 75082-2022
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Country | US
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Telephone | 469-242-2224
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Fax | 469-242-2227
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JOHN B DURBIN
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Credential |
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Telephone | 877-945-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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