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General NPI Number Information
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NPI Number | 1568554475
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Entity Type | Organization
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Legal Business Name | BYRON V HARTUNIAN MD PC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 777 CONCORD AVE SUITE 103
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1056
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Country | US
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Telephone | 617-864-5700
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Fax | 617-864-0883
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Provider Business Mailing Address
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Address Line | 777 CONCORD AVE SUITE 103
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1056
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Country | US
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Telephone | 617-864-5700
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Fax | 617-864-0883
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BYRON V HARTUNIAN
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Credential | MD
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Telephone | 617-864-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 40158
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License Number State | MA
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