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General NPI Number Information
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NPI Number | 1578189957
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Entity Type | Organization
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Legal Business Name | AVENIR VENTURES, L.L.C.
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 912 CONCORD AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4911
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Country | US
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Telephone | 877-202-2869
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Fax | 877-410-0610
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Provider Business Mailing Address
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Address Line | 3854 AMERICAN WAY STE A
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City | BATON ROUGE
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State | LA
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Zip | 70816-4897
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Country | US
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Telephone | 225-292-2031
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Fax | 225-295-9678
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Authorized Official
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Title or Position | SVP TAX
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Name | TRAVIS MIGLICCO
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Credential |
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Telephone | 225-299-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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