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General NPI Number Information
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NPI Number | 1063521219
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Entity Type | Individual
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Provider Name | MARGARET A HEWITT MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 4035 SW MERCANTILE DR #210
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City | LAKE OSWEGO
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State | OR
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Zip | 97035
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Country | US
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Telephone | 503-636-6114
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Fax | 503-636-4896
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Provider Business Mailing Address
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Address Line | 4035 SW MERCANTILE DR #210
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City | LAKE OSWEGO
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State | OR
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Zip | 97035
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Country | US
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Telephone | 503-636-6114
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Fax | 503-636-7864
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD12549
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License Number State | OR
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