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General NPI Number Information
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NPI Number | 1154214997
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Entity Type | Individual
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Provider Name | LOUIS GREGORY MARGULIS PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 210 VILLAGE CENTER PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-9044
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Country | US
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Telephone | 770-474-5952
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Fax | 770-474-1300
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Provider Business Mailing Address
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Address Line | 155 N POND CT
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City | ROSWELL
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State | GA
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Zip | 30076-2919
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Country | US
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Telephone | 770-845-2286
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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