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General NPI Number Information
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NPI Number | 1417920356
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Entity Type | Organization
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Legal Business Name | HEALTH VENTURES, INC.
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 4125 CHAPMAN HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-4257
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Country | US
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Telephone | 865-573-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 4125 CHAPMAN HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-4257
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. ANGEL DAVID JIMENEZ
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Credential |
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Telephone | 865-545-7558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0000000420
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License Number State | TN
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