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General NPI Number Information
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NPI Number | 1316230972
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Entity Type | Organization
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Legal Business Name | VENTURES UNLIMITED, INC.
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 110 NORTH INDUSTRIAL BLVD.
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City | SHELL LAKE
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State | WI
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Zip | 54871
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Country | US
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Telephone | 715-934-3035
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Fax | 715-934-3037
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Provider Business Mailing Address
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Address Line | P.O. BOX 623 110 NORTH INDUSTRIAL BLVD..
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City | SHELL LAKE
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State | WI
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Zip | 54871
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Country | US
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Telephone | 715-468-2939
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Fax | 715-468-4478
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Authorized Official
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Title or Position | CEO
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Name | MS. KRISTIN RAE FRANE
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Credential | M.S.
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Telephone | 715-468-2939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 10204-146
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License Number State | WI
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