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General NPI Number Information
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NPI Number | 1548882707
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Entity Type | Individual
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Provider Name | CHRISTIAN A ARCHER MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 325 W 15TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-5903
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Country | US
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Telephone | 212-844-1712
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Fax | 212-463-0952
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL
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City | NEW YORK
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State | NY
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Zip | 10029-6504
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Country | US
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Telephone | 212-241-6500
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Fax |
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 321354
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License Number State | NY
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