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General NPI Number Information
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NPI Number | 1265766208
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Entity Type | Organization
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Legal Business Name | SUSAN ARCHER, INC
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 4908 DOMINION BLVD STE F
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City | GLEN ALLEN
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State | VA
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Zip | 23060-6774
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Country | US
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Telephone | 804-928-1788
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Fax | 804-533-4233
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Provider Business Mailing Address
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Address Line | 6301 BANSHIRE DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-6572
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Country | US
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Telephone | 804-928-1788
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Fax | 804-533-4233
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Authorized Official
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Title or Position | ONWER
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Name | SUSAN MARGARET ARCHER
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Credential | LCSW
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Telephone | 804-928-1788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904005184
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License Number State | VA
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