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General NPI Number Information
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NPI Number | 1790348472
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Entity Type | Individual
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Provider Name | LAURA ARCHIBALD M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 80 ERDMAN WAY STE 100
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City | LEOMINSTER
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State | MA
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Zip | 01453-1840
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Country | US
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Telephone | 978-751-9280
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Fax | 978-627-3923
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Provider Business Mailing Address
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Address Line | 80 ERDMAN WAY STE 100
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City | LEOMINSTER
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State | MA
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Zip | 01453-1840
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Country | US
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Telephone | 978-751-9280
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Fax | 978-627-3923
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 1023399
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 1023399
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License Number State | MA
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