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General NPI Number Information
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NPI Number | 1700380177
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Entity Type | Individual
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Provider Name | PETER JAMES ARCHETTO MS LAT ATC CSCS
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Gender | Male
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 320 WASHINGTON ST
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City | NORTH EASTON
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State | MA
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Zip | 02357-6875
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Country | US
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Telephone | 774-571-9865
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Fax |
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Provider Business Mailing Address
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Address Line | 125 DEAN AVE APT 4303
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City | FRANKLIN
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State | MA
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Zip | 02038-1893
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Country | US
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Telephone | 774-571-9865
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | ATL3342
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License Number State | MA
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