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General NPI Number Information
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NPI Number | 1962238634
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Entity Type | Organization
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Legal Business Name | JULIAN VENTURES LLC
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 888 W OLSON RD
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City | MIDLAND
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State | MI
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Zip | 48640-9054
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Country | US
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Telephone | 989-423-1400
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Fax | 989-486-1620
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Provider Business Mailing Address
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Address Line | 3371 OLD KAWKAWLIN RD
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City | BAY CITY
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State | MI
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Zip | 48706-1616
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Country | US
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Telephone | 810-577-1137
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MS. KRISTEN MARY FOURNIER
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Credential |
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Telephone | 810-577-1137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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