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General NPI Number Information
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NPI Number | 1114989472
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Entity Type | Individual
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Provider Name | CHRISTIAN J VOGE MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 2100 POWELL ST STE 400
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City | EMERYVILLE
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State | CA
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Zip | 94608-1872
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Country | US
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Telephone | 510-851-7501
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Fax | 510-851-7446
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Provider Business Mailing Address
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Address Line | 101 N MAIN ST UNIT 1567
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City | TEMPLETON
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State | CA
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Zip | 93465-2567
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Country | US
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Telephone | 805-234-1154
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Fax | 805-273-0215
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G62208
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | G62208
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License Number State | CA
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