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General NPI Number Information
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NPI Number | 1154402774
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Entity Type | Individual
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Provider Name | MARINA MARGOLIN MD
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/24/2019
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Provider Practice Location Address
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Address Line | 10917 72ND RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-5336
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Country | US
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Telephone | 718-493-0874
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Fax | 718-793-4277
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Provider Business Mailing Address
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Address Line | 10 GREENWAY
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City | OYSTER BAY
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State | NY
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Zip | 11771-4604
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Country | US
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Telephone | 178-793-0874
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Fax | 718-793-9267
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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 | 372031
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License Number State | NY
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