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General NPI Number Information
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NPI Number | 1548173719
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Entity Type | Individual
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Provider Name | MARY ANGEL ARTUNYAN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 4666 COMMERCIAL ST SE
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City | SALEM
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State | OR
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Zip | 97302-1902
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Country | US
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Telephone | 503-851-7735
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Fax |
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Provider Business Mailing Address
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Address Line | 5731 ERIN VALLEY AVE SE
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City | SALEM
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State | OR
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Zip | 97306-1910
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Country | US
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Telephone | 503-851-7735
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 29911
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License Number State | OR
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