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General NPI Number Information
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NPI Number | 1376155341
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Entity Type | Organization
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Legal Business Name | XCEPTIONAL POST ACUTE CARE PLLC
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 105 S CHENANGO ST STE 2
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City | ANGLETON
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State | TX
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Zip | 77515-6080
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Country | US
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Telephone | 281-857-5201
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Fax |
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Provider Business Mailing Address
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Address Line | 9819 WRIGHT DR
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City | MANVEL
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State | TX
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Zip | 77578-1756
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Country | US
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Telephone | 281-857-5201
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Fax |
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Authorized Official
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Title or Position | NP
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Name | IVO KELLI ACHUO
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Credential | NP
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Telephone | 128-185-7520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471V0106X
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Taxonomy Name | Vascular-Interventional Technology Radiologic Technologist
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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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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