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General NPI Number Information
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NPI Number | 1447290804
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Entity Type | Organization
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Legal Business Name | EXCELSIOR CONSULTING HEALTH SOLUTIONS INC
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3927 NW 89TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2974
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Country | US
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Telephone | 954-240-2877
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Fax |
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Provider Business Mailing Address
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Address Line | 3927 NW 89TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2974
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Country | US
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Telephone | 954-240-2877
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN A EDSON
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Credential |
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Telephone | 954-240-2877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9088
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License Number State | FL
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