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General NPI Number Information
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NPI Number | 1679190177
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Entity Type | Organization
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Legal Business Name | NVENTA INCORPORATED
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 226 W VAUGHN ST
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City | TEMPE
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State | AZ
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Zip | 85283-3649
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Country | US
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Telephone | 480-922-9383
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Fax |
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Provider Business Mailing Address
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Address Line | 226 W VAUGHN ST
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City | TEMPE
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State | AZ
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Zip | 85283-3649
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Country | US
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Telephone | 480-922-9383
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | OLIVER PASSE
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Credential | MS
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Telephone | 480-922-9383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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