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General NPI Number Information
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NPI Number | 1922911403
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Entity Type | Organization
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Legal Business Name | ARCHWAY CLINIC, LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 4816 HILLTOP DR
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City | FORT COLLINS
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State | CO
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Zip | 80526-7101
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Country | US
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Telephone | 970-316-2618
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Fax |
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Provider Business Mailing Address
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Address Line | 4816 HILLTOP DR
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City | FORT COLLINS
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State | CO
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Zip | 80526-7101
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Country | US
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Telephone | 970-316-2618
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MEGAN WADLEY WILKES
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Credential | ORL/L
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Telephone | 970-646-8462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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