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General NPI Number Information
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NPI Number | 1710166533
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Entity Type | Individual
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Provider Name | ROBERT EUGENE ARCHER DC
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Gender | Male
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 28765 INTERSTATE 10 W STE 106
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City | BOERNE
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State | TX
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Zip | 78006-9140
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Country | US
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Telephone | 830-755-4661
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Fax | 830-755-4656
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Provider Business Mailing Address
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Address Line | 28765 IH-10 WEST SUITE 106
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City | BOERNE
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State | TX
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Zip | 78006-6547
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Country | US
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Telephone | 830-755-4661
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Fax | 830-755-4656
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10388
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License Number State | TX
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