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General NPI Number Information
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NPI Number | 1376663674
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Entity Type | Individual
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Provider Name | JEFFREY JOSEPH MARGOLIN DDS
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 18 E 50TH ST SUITE 5A
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City | NEW YORK
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State | NY
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Zip | 10022-6817
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Country | US
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Telephone | 212-308-1881
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Fax | 212-399-3233
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Provider Business Mailing Address
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Address Line | 8 EAST 83RD STREET APT 4E
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City | NEW YORK
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State | NY
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Zip | 10028
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Country | US
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Telephone | 212-474-4777
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 028963
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License Number State | NY
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