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General NPI Number Information
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NPI Number | 1144305673
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Entity Type | Organization
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Legal Business Name | CHARLES G. ARTINIAN MD FACC PC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 318 WRIGHT AVE
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City | SHEPHERD
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State | MI
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Zip | 48883
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Country | US
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Telephone | 989-828-4700
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Fax | 989-282-6209
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Provider Business Mailing Address
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Address Line | 318 WRIGHT AVE
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City | SHEPHERD
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State | MI
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Zip | 48883
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Country | US
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Telephone | 989-828-4700
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Fax | 989-282-6209
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES G ARTINIAN
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Credential | MD
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Telephone | 989-828-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301029369
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License Number State | MI
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