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General NPI Number Information
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NPI Number | 1871994228
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Entity Type | Organization
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Legal Business Name | ELMER ARTEAGA MEDICAL PC
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 3201 GRAND CONCOURSE APT 2M
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City | BRONX
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State | NY
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Zip | 10468-1226
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Country | US
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Telephone | 718-220-4442
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Fax | 718-220-4546
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Provider Business Mailing Address
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Address Line | 3201 GRAND CONCOURSE APT 2M
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City | BRONX
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State | NY
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Zip | 10468-1226
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Country | US
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Telephone | 718-220-4442
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Fax | 718-220-4546
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ELMER C ARTEAGA
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Credential | MD
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Telephone | 71822044442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 192323
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License Number State | NY
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