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General NPI Number Information
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NPI Number | 1912094699
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Entity Type | Organization
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Legal Business Name | HEALTHCARE VENTURE PARTNERS, LLC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 25 WHITNEY DRIVE, SUITE 122
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City | MILFORD
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State | OH
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Zip | 45150
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Country | US
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Telephone | 513-753-9964
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Fax | 513-753-9968
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Provider Business Mailing Address
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Address Line | 25 WHITNEY DRIVE, SUITE 122
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City | MILFORD
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State | OH
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Zip | 45150
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Country | US
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Telephone | 513-753-9964
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Fax | 513-753-9968
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Authorized Official
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Title or Position | C.O.O.
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Name | MS. DEEANN N. MOCK
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Credential | LICD-CS, LPCC, NCC
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Telephone | 513-753-9964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10698
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License Number State | OH
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