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General NPI Number Information
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NPI Number | 1376023408
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Entity Type | Individual
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Provider Name | MEREDITH J VOGEL LMSW-CC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2018
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 75 CENTRAL AVE
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City | LEWISTON
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State | ME
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Zip | 04240-6031
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Country | US
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Telephone | 207-795-4180
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Fax | 207-753-6419
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Provider Business Mailing Address
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Address Line | 112 WINTER ST UNIT 3
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City | PORTLAND
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State | ME
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Zip | 04102-4032
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Country | US
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Telephone | 443-974-0660
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MC17117
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License Number State | ME
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