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General NPI Number Information
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NPI Number | 1174322739
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Entity Type | Organization
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Legal Business Name | VENUS CARE LLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 35 WOODLAND AVE
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3659
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Country | US
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Telephone | 954-678-7903
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Fax |
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Provider Business Mailing Address
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Address Line | 35 WOODLAND AVE
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3659
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Country | US
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Telephone | 954-678-7903
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. GEORGES MAXIME SOUFFRANT
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Credential |
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Telephone | 954-678-7903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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