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General NPI Number Information
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NPI Number | 1821481094
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Entity Type | Individual
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Provider Name | DAVID ARTEAGA MD
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Gender | Male
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | CARRETERA 128 KM 1.0, DR. TITO MATTEI HOSPITAL
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City | YAUCO
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State | PR
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Zip | 00698
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Country | US
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Telephone | 787-856-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 612 WOOD CREST ST
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City | MOORE
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State | OK
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Zip | 73160-6022
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Country | US
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Telephone | 405-812-4062
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13709-I
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License Number State | PR
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