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General NPI Number Information
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NPI Number | 1376625566
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Entity Type | Organization
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Legal Business Name | EXCEL MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 137 COMMERCE DR
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City | LOVELAND
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State | OH
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Zip | 45140-7727
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Country | US
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Telephone | 513-683-3390
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Fax | 513-697-4925
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Provider Business Mailing Address
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Address Line | 137 COMMERCE DR
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City | LOVELAND
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State | OH
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Zip | 45140-7727
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Country | US
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Telephone | 513-683-3390
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Fax | 513-697-4925
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | MR. JOSEPH LEVENSON
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Credential |
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Telephone | 513-683-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 332BP3500X
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License Number State | OH
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