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General NPI Number Information
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NPI Number | 1508931684
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Entity Type | Organization
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Legal Business Name | ARCHY'S & SONS, INC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4148 LEGION DR
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City | MASON
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State | MI
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Zip | 48854-2546
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Country | US
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Telephone | 517-676-3023
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Fax |
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Provider Business Mailing Address
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Address Line | 4148 LEGION DR
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City | MASON
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State | MI
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Zip | 48854-2546
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Country | US
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Telephone | 517-676-3023
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. KEVIN WAYNE AMMERMAN
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Credential |
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Telephone | 517-676-3023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 331012
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 331012
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License Number State | MI
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