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General NPI Number Information
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NPI Number | 1932045739
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Entity Type | Individual
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Provider Name | JOSEPH ARCHAMBAULT PTA
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Gender | Male
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 588 PAWTUCKET AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-6057
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Country | US
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Telephone | 401-475-3580
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Fax |
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Provider Business Mailing Address
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Address Line | 12 ANGLEWOOD AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-1495
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Country | US
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Telephone | 401-447-6522
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 00599
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License Number State | RI
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