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NPI 1033645866

NPI 1033645866 : LARS MARGOLIS : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1033645866
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    Entity Type          |    Individual 
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    Provider Name        |    LARS MARGOLIS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/11/2017
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    Last Update Date     |    09/06/2022
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Provider Practice Location Address
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    Address Line         |    200 LOTHROP ST STE 9S 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15213-2536
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    Country              |    US
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    Telephone            |    412-864-2428
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 PARKVIEW DR 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15243-2008
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    Country              |    US
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    Telephone            |    617-640-7267
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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        |    207RH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
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    License Number       |    MD477576
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    License Number State |    PA
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