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General NPI Number Information
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NPI Number | 1053132662
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Entity Type | Organization
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Legal Business Name | AVENIR VENTURES, L.L.C.
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 4201 RIVERS EDGE PKWY STE 420
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-2548
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Country | US
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Telephone | 712-823-3959
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Fax | 866-670-4386
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Provider Business Mailing Address
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Address Line | 3854 AMERICAN WAY STE A
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City | BATON ROUGE
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State | LA
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Zip | 70816-4897
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Country | US
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Telephone | 225-292-2031
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Fax | 225-295-9678
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Authorized Official
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Title or Position | SVP TAX
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Name | TRAVIS MIGLICCO
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Credential |
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Telephone | 225-299-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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