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General NPI Number Information
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NPI Number | 1982277232
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Entity Type | Individual
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Provider Name | ABBEY MARGIOTTA PTA
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Gender | Female
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 1400 WAVERLY RD
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City | GLADWYNE
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State | PA
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Zip | 19035-1254
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Country | US
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Telephone | 610-645-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 3871 TERRACE ST APT 3
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City | PHILADELPHIA
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State | PA
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Zip | 19128-5235
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Country | US
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Telephone | 410-456-9621
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE012509
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License Number State | PA
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