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General NPI Number Information
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NPI Number | 1649516840
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Entity Type | Organization
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Legal Business Name | MARGARITA C PASCUAL MD PC
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 16 WASHINGTON AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-3216
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Country | US
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Telephone | 631-273-7799
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Fax | 631-434-6602
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Provider Business Mailing Address
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Address Line | 16 WASHINGTON AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-3216
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Country | US
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Telephone | 631-273-7799
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Fax | 631-434-6602
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARGARITA C PASCUAL
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Credential |
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Telephone | 631-273-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 111490
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License Number State | NY
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