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General NPI Number Information
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NPI Number | 1225372410
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Entity Type | Individual
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Provider Name | MAGGIE F. FOGEL DPT
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Gender | Female
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Dates
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Enumeration Date | 11/12/2012
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Last Update Date | 11/12/2012
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Provider Practice Location Address
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Address Line | 24 W 57TH ST SUITE 509
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City | NEW YORK
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State | NY
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Zip | 10019-3918
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Country | US
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Telephone | 212-707-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 11 EAGLE ROCK AVE SUITE 102
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City | EAST HANOVER
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State | NJ
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Zip | 07936-3167
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Country | US
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Telephone | 973-877-9000
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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 | 035693
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License Number State | NY
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