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General NPI Number Information
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NPI Number | 1245493139
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Entity Type | Organization
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Legal Business Name | SANDRA L. MARGOLES, MD., LLC
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 2 1/2 DEARFIELD DR SUITE 102
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City | GREENWICH
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State | CT
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Zip | 06831-5335
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Country | US
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Telephone | 203-869-2939
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Fax |
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Provider Business Mailing Address
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Address Line | 2 1/2 DEARFIELD DR SUITE 102
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City | GREENWICH
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State | CT
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Zip | 06831-5335
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Country | US
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Telephone | 203-869-2939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA L MARGOLES
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Credential | MD
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Telephone | 203-869-2939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 037667
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License Number State | CT
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