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General NPI Number Information
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NPI Number | 1801466230
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Entity Type | Organization
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Legal Business Name | EXCEL PHYSICAL THERAPY & WELLNESS PC
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 414 TENNESSEE ST STE F
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City | REDLANDS
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State | CA
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Zip | 92373-8152
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Country | US
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Telephone | 909-792-5050
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Fax | 909-792-5051
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Provider Business Mailing Address
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Address Line | 414 TENNESSEE ST STE F
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City | REDLANDS
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State | CA
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Zip | 92373-8152
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Country | US
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Telephone | 909-792-5050
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Fax | 909-792-5051
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. GEORGE JAMES
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Credential | PT, DPT, DIACH, CFMP
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Telephone | 909-910-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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