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General NPI Number Information
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NPI Number | 1831747187
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Entity Type | Individual
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Provider Name | COLIN ARCHER APN
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Gender | Male
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 1214 RIVER RD
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City | TITUSVILLE
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State | NJ
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Zip | 08560-1601
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Country | US
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Telephone | 732-261-7291
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 RIVER RD
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City | TITUSVILLE
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State | NJ
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Zip | 08560-1601
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Country | US
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Telephone | 732-261-7291
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NJ00954900
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License Number State | NJ
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