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General NPI Number Information
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NPI Number | 1336643287
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Entity Type | Individual
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Provider Name | MAXWELL JOSEPH VOGEL MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 811 13TH ST STE 20
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City | AUGUSTA
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State | GA
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Zip | 30901-2771
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Country | US
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Telephone | 706-722-3401
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Fax |
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Provider Business Mailing Address
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Address Line | 762 NUTTALL ST
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City | EVANS
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State | GA
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Zip | 30809-0838
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Country | US
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Telephone | 724-561-8700
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 100595
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License Number State | GA
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