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General NPI Number Information
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NPI Number | 1336159755
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Entity Type | Individual
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Provider Name | EMILY L VOGEL O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 450 N ROXBURY DR FL 3 THIRD FLOOR
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4238
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Country | US
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Telephone | 310-453-8911
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Fax |
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Provider Business Mailing Address
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Address Line | 10921 WILSHIRE BLVD STE 900
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City | LOS ANGELES
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State | CA
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Zip | 90024-4003
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Country | US
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Telephone | 310-453-8911
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Fax | 310-453-2519
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | (OPT) 12453
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License Number State | CA
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