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General NPI Number Information
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NPI Number | 1194329193
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Entity Type | Individual
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Provider Name | KERRI FELICIA VOGT LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 615 W PINE ST
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City | HATTIESBURG
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State | MS
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Zip | 39401-3835
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Country | US
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Telephone | 601-402-3495
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Fax |
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Provider Business Mailing Address
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Address Line | 412 S 21ST AVE
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City | HATTIESBURG
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State | MS
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Zip | 39401-7323
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Country | US
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Telephone | 601-402-3495
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | C8968
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C8968
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License Number State | MS
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