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General NPI Number Information
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NPI Number | 1467654053
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Entity Type | Organization
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Legal Business Name | HEALTH VENTURES LLC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 745 ORIENTA AVENUE STE #1191
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701
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Country | US
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Telephone | 407-331-6236
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Fax | 407-331-6953
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Provider Business Mailing Address
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Address Line | PO BOX 150038
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32715-0038
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Country | US
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Telephone | 407-331-6236
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Fax | 407-331-6953
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN PHILIP NIMBARGI
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Credential | MD
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Telephone | 407-782-3702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | ME85807
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME85807
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License Number State | FL
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