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General NPI Number Information
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NPI Number | 1518099787
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Entity Type | Individual
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Provider Name | MARGARETHA CHRISTINE HERTLE MD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 76 FIREMENS WAY
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-6519
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Country | US
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Telephone | 845-452-9220
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 ROUTE 217
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City | GHENT
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State | NY
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Zip | 12075
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Country | US
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Telephone | 518-672-7448
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Fax | 518-672-5433
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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 | 2077871
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License Number State | NY
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