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General NPI Number Information
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NPI Number | 1336048578
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Entity Type | Organization
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Legal Business Name | BIZZELL GLOBAL VENTURES, LLC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 2902 E MAIN STREET EXT
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City | SPARTANBURG
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State | SC
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Zip | 29307-1252
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Country | US
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Telephone | 864-579-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 8201 CORPORATE DR STE 920
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City | HYATTSVILLE
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State | MD
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Zip | 20785-7227
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Country | US
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Telephone | 301-459-0100
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Fax | 301-459-0101
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | KEITH RILEY
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Credential | MBA
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Telephone | 571-214-2797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number |
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License Number State |
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