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General NPI Number Information
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NPI Number | 1629363817
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Entity Type | Organization
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Legal Business Name | F PHILIP ARCHER DDS PLLC
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 9224 S TOLEDO CT
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City | TULSA
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State | OK
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Zip | 74137-2743
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Country | US
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Telephone | 918-938-6161
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Fax | 918-492-7379
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Provider Business Mailing Address
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Address Line | 9224 S TOLEDO CT
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City | TULSA
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State | OK
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Zip | 74137-2743
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Country | US
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Telephone | 918-938-6161
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Fax | 918-492-7379
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Authorized Official
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Title or Position | FRONT OFFICE
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Name | MS. SHAYNA LYNN GIVENS
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Credential |
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Telephone | 918-938-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3422
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License Number State | OK
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