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General NPI Number Information
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NPI Number | 1447344502
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Entity Type | Individual
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Provider Name | ARA KAREKIN PRIDJIAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1740 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60612-7232
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Country | US
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Telephone | 517-881-6671
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13008
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City | LANSING
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State | MI
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Zip | 48901-3008
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Country | US
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Telephone | 517-364-6253
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Fax | 517-364-6208
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 036067908
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 4301054833
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License Number State | MI
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