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General NPI Number Information
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NPI Number | 1649393505
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Entity Type | Individual
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Provider Name | ANDREW S. MARGOLIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 132 CENTRAL ST SUITE 202
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City | FOXBORO
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State | MA
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Zip | 02035-2433
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Country | US
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Telephone | 508-698-9100
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Fax | 508-698-9100
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Provider Business Mailing Address
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Address Line | 7 LEDGEVILLE AVE
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City | FOXBORO
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State | MA
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Zip | 02035-2505
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Country | US
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Telephone | 508-698-9769
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Fax | 508-698-9769
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS00804
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 7183
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PS00804
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 7183
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PS00804
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License Number State | RI
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Taxonomy #6
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 7183
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License Number State | MA
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