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General NPI Number Information
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NPI Number | 1245119254
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Entity Type | Organization
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Legal Business Name | JEFFERY T. ARCHBOLD DO
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 312 E MIDLAND RD STE A
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City | AUBURN
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State | MI
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Zip | 48611-9751
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Country | US
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Telephone | 989-662-8868
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Fax |
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Provider Business Mailing Address
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Address Line | 312 E MIDLAND RD STE A
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City | AUBURN
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State | MI
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Zip | 48611-9751
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Country | US
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Telephone | 989-662-8868
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JEFFERY T ARCHBOLD
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Credential | DO
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Telephone | 989-430-2692
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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 |
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License Number State |
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