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General NPI Number Information
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NPI Number | 1093710998
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Entity Type | Individual
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Provider Name | FRANK J ARCHER MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 24 N 100 E
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City | SPANISH FORK
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State | UT
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Zip | 84660-1802
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Country | US
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Telephone | 801-465-4896
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Fax | 801-465-3267
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | SPANISH FORK
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State | UT
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Zip | 84660-0008
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Country | US
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Telephone | 801-798-5359
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Fax | 385-888-9171
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4253A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6701075-1205
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License Number State | UT
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