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General NPI Number Information
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NPI Number | 1881665966
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Entity Type | Individual
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Provider Name | JOHN CARL VENTURA MD
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1000 HEALTH CENTER DR
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City | MATTOON
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State | IL
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Zip | 61938-4644
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Country | US
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Telephone | 217-258-2551
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Fax | 217-258-2256
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Provider Business Mailing Address
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Address Line | 721 E COURT ST
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City | PARIS
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State | IL
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Zip | 61944-2420
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Country | US
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Telephone |
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01089382A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101238619
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 29503
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01089382A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036151467
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License Number State | IL
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