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General NPI Number Information
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NPI Number | 1891090510
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Entity Type | Organization
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Legal Business Name | EXCELCARE ALLIANCE, LLC
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 76 S STATE ST
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City | VINELAND
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State | NJ
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Zip | 08360-4851
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Country | US
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Telephone | 856-205-1112
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Fax | 856-205-1114
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Provider Business Mailing Address
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Address Line | 76 S STATE ST
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City | VINELAND
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State | NJ
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Zip | 08360-4851
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Country | US
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Telephone | 856-205-1112
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Fax | 856-205-1114
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAGHURAJ TOMAR
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Credential | MD
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Telephone | 856-205-1112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NJ
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