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General NPI Number Information
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NPI Number | 1689206807
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Entity Type | Organization
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Legal Business Name | VENAFLUX, LLC
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 10011 SOUTHMOOR LN
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City | FORT MILL
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State | SC
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Zip | 29707-9117
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Country | US
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Telephone | 801-810-8346
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Fax |
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Provider Business Mailing Address
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Address Line | 91 LANE HOLLER
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City | BELMONT
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State | NC
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Zip | 28012-3656
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Country | US
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Telephone | 828-243-3217
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | LINDSEY LANCE
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Credential | ACNP-BC
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Telephone | 828-243-3217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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