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General NPI Number Information
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NPI Number | 1871827774
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Entity Type | Organization
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Legal Business Name | MICHAEL T. MARGOLIS, MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 1820 OGDEN DR
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City | BURLINGAME
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State | CA
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Zip | 94010-5384
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Country | US
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Telephone | 650-375-1644
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Fax | 650-239-5313
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Provider Business Mailing Address
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Address Line | 1820 OGDEN DR
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City | BURLINGAME
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State | CA
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Zip | 94010-5384
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Country | US
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Telephone | 650-375-1644
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Fax | 650-239-5313
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL T MARGOLIS
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Credential | M.D.
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Telephone | 650-228-4052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G83323
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License Number State | CA
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