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General NPI Number Information
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NPI Number | 1124152772
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Entity Type | Individual
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Provider Name | BARRY E MARGED DO
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 2636 BRISTOL PIKE
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City | BENSALEM
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State | PA
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Zip | 19020-5366
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Country | US
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Telephone | 215-639-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 6469 TOWNSHIP ROAD 255
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City | GALION
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State | OH
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Zip | 44833-9074
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Country | US
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Telephone | 330-281-3555
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0S004052L
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License Number State | PA
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