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NPI 1053498196

NPI 1053498196 : MARGO F. SPITZER MD : LAWRENCE, NY

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General NPI Number Information
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    NPI Number           |    1053498196
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    Entity Type          |    Individual 
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    Provider Name        |    MARGO F. SPITZER MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    14 MEADOW LN 
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    City                 |    LAWRENCE
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    State                |    NY
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    Zip                  |    11559-1828
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    Country              |    US
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    Telephone            |    516-239-1641
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    Fax                  |    516-239-7499
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Provider Business Mailing Address
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    Address Line         |    14 MEADOW LN 
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    City                 |    LAWRENCE
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    State                |    NY
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    Zip                  |    11559-1828
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    Country              |    US
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    Telephone            |    516-239-1641
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    Fax                  |    516-239-7499
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    NY
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