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NPI 1144623521

NPI 1144623521 : JOSEPH A MOGILL DPT : OXFORD, AL

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General NPI Number Information
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    NPI Number           |    1144623521
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH A MOGILL DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/30/2014
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    Last Update Date     |    02/26/2025
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Provider Practice Location Address
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    Address Line         |    1419 HAMRIC DR E SUITE 201
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    City                 |    OXFORD
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    State                |    AL
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    Zip                  |    36203-2173
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    Country              |    US
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    Telephone            |    256-241-3242
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    Fax                  |    256-241-3252
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Provider Business Mailing Address
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    Address Line         |    2001 BUTTERFIELD RD STE 1600 
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    City                 |    DOWNERS GROVE
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    State                |    IL
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    Zip                  |    60515-1211
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    PTH7323
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    License Number State |    AL
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