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General NPI Number Information
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NPI Number | 1295904829
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Entity Type | Organization
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Legal Business Name | EXCEL BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 1204-8 SOUTH POST ROAD
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City | SHELBY
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State | NC
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Zip | 28152-7417
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Country | US
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Telephone | 704-481-1129
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Fax | 704-481-1673
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Provider Business Mailing Address
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Address Line | 1201-4 SOUTH POST RD.
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City | SHELBY
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State | NC
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Zip | 28152-7417
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Country | US
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Telephone | 704-481-1129
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Fax | 704-481-1673
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Authorized Official
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Title or Position | CEO
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Name | MR. MITCHELL HOWARD SMITH
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Credential | QP/BSW
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Telephone | 704-575-9771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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