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General NPI Number Information
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NPI Number | 1063743003
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Entity Type | Organization
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Legal Business Name | ALISHA J. VOGT
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 5725 OAK GROVE AVE
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City | OAKLAND
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State | CA
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Zip | 94618-1244
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Country | US
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Telephone | 510-594-4370
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Fax |
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Provider Business Mailing Address
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Address Line | 5725 OAK GROVE AVE
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City | OAKLAND
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State | CA
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Zip | 94618-1244
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Country | US
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Telephone | 510-594-4370
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | ALISHA J VOGT
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Credential | MFT
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Telephone | 510-594-4370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC47693
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License Number State | CA
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