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General NPI Number Information
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NPI Number | 1780631168
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Entity Type | Individual
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Provider Name | STEVEN W VENTERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 811 JAMES AVE SUITE B
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City | FARMERVILLE
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State | LA
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Zip | 71241-2237
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Country | US
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Telephone | 318-368-0190
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Fax | 318-368-0405
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Provider Business Mailing Address
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Address Line | 811 JAMES AVE SUITE B
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City | FARMERVILLE
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State | LA
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Zip | 71241-2237
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Country | US
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Telephone | 318-368-0190
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Fax | 318-368-0405
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 12351R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 12351R
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License Number State | LA
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