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General NPI Number Information
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NPI Number | 1255152898
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Entity Type | Individual
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Provider Name | OLIVIA FAYE VOGEL
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Gender | Female
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 136 US 70 HWY E
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City | GARNER
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State | NC
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Zip | 27529-3982
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Country | US
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Telephone | 919-791-5611
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Fax | 919-342-8393
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Provider Business Mailing Address
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Address Line | 50 HIGHLAND WOOD DR
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City | CLAYTON
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State | NC
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Zip | 27527-8639
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Country | US
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Telephone | 215-749-2183
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 319691
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5021062
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License Number State | NC
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