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General NPI Number Information
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NPI Number | 1275585283
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Entity Type | Organization
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Legal Business Name | VOGELGESANG, PLLC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 3240 14TH AVE NW
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City | OLYMPIA
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State | WA
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Zip | 98502-8509
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Country | US
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Telephone | 360-866-7990
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Fax | 360-866-4577
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Provider Business Mailing Address
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Address Line | PO BOX 11789
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City | OLYMPIA
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State | WA
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Zip | 98508-1789
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Country | US
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Telephone | 360-866-7990
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | RENAE STEWART
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Credential |
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Telephone | 360-866-7990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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