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General NPI Number Information
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NPI Number | 1639971732
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Entity Type | Organization
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Legal Business Name | ARCHER CONSULTANT GROUP
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 3506 E BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23223-8004
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Country | US
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Telephone | 804-218-8182
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Fax | 480-287-8222
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Provider Business Mailing Address
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Address Line | 3506 E BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23223-8004
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Country | US
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Telephone | 804-218-8182
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Fax | 480-287-8222
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Authorized Official
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Title or Position | PRESIDENT
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Name | TEVAR MARKEL ARCHER
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Credential |
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Telephone | 804-218-8182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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