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General NPI Number Information
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NPI Number | 1215034574
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Entity Type | Organization
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Legal Business Name | CHARLES L VOGEL, M.D., P.A.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 350 NW 84TH AVE SUITE 300
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City | PLANTATION
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State | FL
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Zip | 33324-1817
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Country | US
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Telephone | 954-473-6776
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Fax | 954-473-6590
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Provider Business Mailing Address
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Address Line | 2000 S OCEAN BLVD APT 4-B
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City | BOCA RATON
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State | FL
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Zip | 33432-8535
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Country | US
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Telephone | 954-473-6776
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Fax | 954-473-6590
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. NIDIA HERNANDEZ
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Credential |
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Telephone | 954-473-6776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0031405
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License Number State | FL
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