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General NPI Number Information
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NPI Number | 1770603490
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Entity Type | Organization
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Legal Business Name | EXCEL TUTORING AND PERSONAL DEVELOPMENT
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 226 W MILLBROOK RD
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City | RALEIGH
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State | NC
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Zip | 27609-4304
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Country | US
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Telephone | 919-847-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 8520 CLIFF CAMERON DR SUITE 460
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City | CHARLOTTE
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State | NC
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Zip | 28269-0012
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Country | US
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Telephone | 704-510-1535
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Fax | 704-940-8060
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN TILLMAN
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Credential |
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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