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General NPI Number Information
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NPI Number | 1467329276
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Entity Type | Organization
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Legal Business Name | EXCEL MIND & BODY HEALTHCARE LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 115 US HIGHWAY 46 STE 1
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1668
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Country | US
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Telephone | 347-766-0032
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Fax | 844-718-0075
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Provider Business Mailing Address
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Address Line | 115 US 46, BLDG. F, STE. 1
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046
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Country | US
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Telephone | 347-204-6090
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Fax | 844-718-0075
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Authorized Official
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Title or Position | APN CLINICIAN, OWNER
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Name | MS. MONIQUE CECELIA GANTIER
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Credential | NP/ APN-BC
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Telephone | 347-204-6090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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