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General NPI Number Information
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NPI Number | 1952923807
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Entity Type | Individual
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Provider Name | MARGO GREGOR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 4301 DARROW RD STE 3500
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City | STOW
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State | OH
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Zip | 44224-2686
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Country | US
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Telephone | 234-208-6299
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Fax |
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Provider Business Mailing Address
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Address Line | 2143 LARCHDALE DR
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City | CUYAHOGA FLS
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State | OH
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Zip | 44221-3631
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Country | US
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Telephone |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | P.07993
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License Number State | OH
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