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General NPI Number Information
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NPI Number | 1881266369
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Entity Type | Organization
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Legal Business Name | EXCEL HEALTH SERVICES
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 1801 DOUGLAS AVE
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City | RACINE
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State | WI
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Zip | 53402-4611
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Country | US
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Telephone | 262-260-8442
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Fax | 262-995-7373
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Provider Business Mailing Address
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Address Line | 141 OHIO ST
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City | RACINE
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State | WI
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Zip | 53405
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Country | US
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Telephone | 262-822-7961
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VONDECAIR K BROWN
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Credential |
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Telephone | 262-260-8442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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