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General NPI Number Information
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NPI Number | 1831477785
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Entity Type | Individual
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Provider Name | MARIA MARGARITA LOPEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 381 PARK AVE S SUITE 428
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City | NEW YORK
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State | NY
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Zip | 10016-8806
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Country | US
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Telephone | 212-679-4000
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Fax | 212-679-4004
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Provider Business Mailing Address
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Address Line | 110 MANHATTAN AVE #2A
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City | NEW YORK
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State | NY
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Zip | 10025-8820
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Country | US
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Telephone | 860-796-8751
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 282229
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MA09792700
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License Number State | NJ
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