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NPI 1063306488

NPI 1063306488 : ARCHER PHYSICAL THERAPY : MAYS LANDING, NJ

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General NPI Number Information
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    NPI Number           |    1063306488
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARCHER PHYSICAL THERAPY 
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Dates
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    Enumeration Date     |    06/09/2025
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    6090 DANNENHAUER LN STE 4 
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    City                 |    MAYS LANDING
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    State                |    NJ
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    Zip                  |    08330-1462
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    Country              |    US
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    Telephone            |    856-626-4022
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    409 S HARDING HWY 
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    City                 |    LANDISVILLE
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    State                |    NJ
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    Zip                  |    08326-1441
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    Country              |    US
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    Telephone            |    856-982-3679
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. BENJAMIN  ARCHETTO 
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    Credential           |    BS, DPT
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    Telephone            |    856-982-3679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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