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General NPI Number Information
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NPI Number | 1558296178
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Entity Type | Organization
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Legal Business Name | EXCEL EDUCATION & THERAPY GROUP
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 17100 FOOTHILL AVE
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City | NORTH EDWARDS
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State | CA
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Zip | 93523-3533
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Country | US
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Telephone | 760-769-4821
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Fax |
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Provider Business Mailing Address
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Address Line | 626 W LANCASTER BLVD # 81
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City | LANCASTER
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State | CA
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Zip | 93534-3108
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Country | US
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Telephone | 661-350-2504
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Fax |
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Authorized Official
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Title or Position | DATA/OPERATIONS MANAGER
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Name | MR. WYNELL MONTGOMERY
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Credential | MA
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Telephone | 661-350-2504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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