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General NPI Number Information
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NPI Number | 1871500454
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Entity Type | Organization
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Legal Business Name | EXCEL PEDIATRICS AND FAMILY CARE
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 265 CITRUS TOWER BLVD 102
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City | CLERMONT
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State | FL
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Zip | 34711-1908
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Country | US
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Telephone | 352-394-3929
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Fax | 352-394-6446
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Provider Business Mailing Address
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Address Line | 265 CITRUS TOWER BLVD 102
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City | CLERMONT
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State | FL
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Zip | 34711-1908
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Country | US
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Telephone | 352-394-3929
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Fax | 352-394-6446
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MOHAMMAD AFZAL
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Credential | MD MBA
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Telephone | 352-394-3929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health 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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | ME72542
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License Number State | FL
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