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General NPI Number Information
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NPI Number | 1225082290
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Entity Type | Individual
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Provider Name | AMY S. MARGULIES R.D,, C.D.E,, L,D.N.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 444 N MICHIGAN AVE STE 3400
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 610-308-5114
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Fax |
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Provider Business Mailing Address
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Address Line | 6 LOCUST WAY
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City | LAFAYETTE HILL
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State | PA
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Zip | 19444-2435
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Country | US
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Telephone | 610-397-1872
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN002136
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License Number State | PA
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