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General NPI Number Information
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NPI Number | 1831235829
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Entity Type | Organization
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Legal Business Name | EXCEL ACADEMY
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 9100 JACKSONTOWN RD.
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City | JACKSONTOWN
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State | OH
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Zip | 43030
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Country | US
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Telephone | 740-323-1102
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 109
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City | JACKSONTOWN
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State | OH
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Zip | 43030-0109
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Country | US
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Telephone | 740-323-1102
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | MS. MARY THOMPSON
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Credential |
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Telephone | 740-323-1102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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