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General NPI Number Information
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NPI Number | 1093771073
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Entity Type | Organization
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Legal Business Name | ARTEL LLC
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 521 S HAM LN SUITE F
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City | LODI
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State | CA
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Zip | 95242-3528
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Country | US
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Telephone | 209-333-0905
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Fax | 209-333-0219
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Provider Business Mailing Address
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Address Line | PO BOX 884577
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City | LOS ANGELES
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State | CA
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Zip | 90088-4577
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Country | US
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Telephone | 209-333-0905
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Fax | 209-333-5243
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Authorized Official
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Title or Position | FINANCE OFFICER
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Name | KATIE J DELMORE
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Credential |
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Telephone | 209-339-7560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 030000345
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License Number State | CA
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