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General NPI Number Information
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NPI Number | 1588747141
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Entity Type | Organization
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Legal Business Name | KENNETH MARGOLIS MD AMBULATORY ENDOSCOPY SURGICAL CENTER
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9101 FRANKLIN SQUARE DR SUITE 213
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City | BALTIMORE
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State | MD
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Zip | 21237-3936
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Country | US
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Telephone | 410-687-0202
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Fax |
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Provider Business Mailing Address
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Address Line | 9101 FRANKLIN SQUARE DR SUITE 213
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City | BALTIMORE
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State | MD
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Zip | 21237-3936
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Country | US
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Telephone | 410-687-0202
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KENNETH MARGOLIS
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Credential | M.D.
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Telephone | 410-687-0202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | A1128
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License Number State | MD
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