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General NPI Number Information
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NPI Number | 1851481014
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Entity Type | Individual
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Provider Name | MARGERY GANS E.D.D
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 390 MASSACHUSETTS AVE
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City | ARLINGTON
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State | MA
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Zip | 02474-6799
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Country | US
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Telephone | 781-641-1401
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Fax |
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Provider Business Mailing Address
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Address Line | 9 OSSIPEE RD
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City | SOMERVILLE
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State | MA
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Zip | 02144-1609
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Country | US
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Telephone | 781-641-1401
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4077
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License Number State | MA
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