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General NPI Number Information
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NPI Number | 1679935233
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Entity Type | Organization
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Legal Business Name | EXCEL THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 10901 BUD RHODEN RD
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City | PALMETTO
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State | FL
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Zip | 34221-7605
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Country | US
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Telephone | 941-201-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 10901 BUD RHODEN RD
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City | PALMETTO
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State | FL
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Zip | 34221-7605
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Country | US
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Telephone | 941-201-2929
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Fax |
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Authorized Official
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Title or Position | VP, CFO
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Name | JULIA MELENDEZ
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Credential |
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Telephone | 941-201-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24594
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2355A2700X
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Taxonomy Name | Audiology Assistant
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License Number | SA11079
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 9200
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License Number State | FL
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