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General NPI Number Information
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NPI Number | 1427224393
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Entity Type | Organization
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Legal Business Name | EXCEL TUTORING & PERSONAL DEVELOPMENT
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 906 N SHAVER ST
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City | SALISBURY
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State | NC
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Zip | 28144-4459
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Country | US
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Telephone | 704-637-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 8520 CLIFF CAMERON DR STE 460
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City | CHARLOTTE
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State | NC
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Zip | 28269-0019
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Country | US
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Telephone | 704-510-1535
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JOHN TILLMAN
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Credential | MBA
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Telephone | 704-510-1535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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