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General NPI Number Information
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NPI Number | 1134302276
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Entity Type | Organization
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Legal Business Name | STEVEN W. VENTERS, M.D., L.L.C.
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 811 JAMES AVE. SUITE B
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City | FARMERVILLE
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State | LA
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Zip | 71241
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Country | US
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Telephone | 318-368-0190
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Fax | 318-368-0405
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Provider Business Mailing Address
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Address Line | 811 JAMES AVE. SUITE B
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City | FARMERVILLE
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State | LA
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Zip | 71241
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Country | US
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Telephone | 318-368-0190
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Fax | 318-368-0405
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. STEVEN W VENTERS
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Credential | M.D.
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Telephone | 318-368-0190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 12351R
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License Number State | LA
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