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General NPI Number Information
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NPI Number | 1023157021
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Entity Type | Individual
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Provider Name | MARA RENEE ARCHAMBAULT MD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3833 EMERALD AVE
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City | LA VERNE
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State | CA
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Zip | 91750-2904
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Country | US
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Telephone | 909-593-4531
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Fax | 909-392-9598
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 702-579-3203
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD2008-0205
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License Number State | NM
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