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General NPI Number Information
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NPI Number | 1083503486
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Entity Type | Individual
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Provider Name | IRYNA ARTYMOVYCH FNP
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 28 1/2 E MAIN ST STE 1
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City | MARCELLUS
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State | NY
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Zip | 13108-1280
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Country | US
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Telephone | 315-673-9926
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Fax |
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Provider Business Mailing Address
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Address Line | 4628 CEDARVALE RD
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City | SYRACUSE
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State | NY
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Zip | 13215-8770
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Country | US
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Telephone | 315-383-9387
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 356931
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License Number State | NY
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