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General NPI Number Information
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NPI Number | 1750838439
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Entity Type | Organization
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Legal Business Name | VENTURES LLC
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1319 W BROAD AVE
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City | ALBANY
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State | GA
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Zip | 31707-4343
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Country | US
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Telephone | 229-496-9147
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Fax | 229-496-9258
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Provider Business Mailing Address
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Address Line | 1319 W BROAD AVE
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City | ALBANY
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State | GA
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Zip | 31707-4343
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Country | US
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Telephone | 229-496-9147
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Fax | 229-496-9258
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Authorized Official
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Title or Position | CEO
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Name | MS. OTHELL RAVEN
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Credential |
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Telephone | 229-496-9147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 047-R-1626
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License Number State | GA
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