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1114718301 NPI number — AVENIR VENTURES, L.L.C.

NPI Number: 1114718301
Health Care Provider/Practitioner: AVENIR VENTURES, L.L.C.

Information about “1114718301” NPI (AVENIR VENTURES, L.L.C.) exists in 1114718301 in HTML format HTML  |  1114718301 in plain Text format TXT  |  1114718301 in PDF (Portable Document Format) PDF  |  1114718301 in an XML format XML  formats.

NPI Number : 1114718301 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114718301",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AVENIR VENTURES, L.L.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "111 CONTINENTAL DR STE 407",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWARK",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19713-4332",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "877-202-2869",
    "MailingAddressFaxNumber": "866-404-0103",
    "FirstLinePracticeLocationAddress": "111 CONTINENTAL DR STE 407",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWARK",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19713-4332",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-202-2869",
    "PracticeLocationAddressFaxNumber": "866-404-0103",
    "EnumerationDate": "05/15/2025",
    "LastUpdateDate": "06/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MIGLICCO",
    "AuthorizedOfficialFirstName": "TRAVIS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SVP TAX",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "225-299-3803",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RH0002X",
        "TaxonomyName": "Hospice and Palliative Medicine (Internal Medicine) Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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