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General NPI Number Information
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NPI Number | 1144069329
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Entity Type | Individual
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Provider Name | ARYEH L MARGOLIS
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Gender | Male
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 545 E COUNTY LINE RD # 17A
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1487
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Country | US
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Telephone | 732-664-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 12 GENESEE PL
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1124
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Country | US
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Telephone | 732-664-0949
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC005506000
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License Number State | NJ
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