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General NPI Number Information
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NPI Number | 1386713519
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Entity Type | Individual
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Provider Name | KENNETH NORMAN VOGTSBERGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 6711 S NEW BRAUNFELS AVE STE 500 MEDICAL SERVICES DEPARTMENT, BLDG 667E
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City | SAN ANTONIO
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State | TX
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Zip | 78223-3004
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Country | US
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Telephone | 210-532-9610
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Fax | 210-531-3795
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Provider Business Mailing Address
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Address Line | 6711 S NEW BRAUNFELS AVE STE 500 MEDICAL SERVICES DEPARTMENT, BLDG 667E
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City | SAN ANTONIO
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State | TX
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Zip | 78223-3004
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Country | US
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Telephone | 210-532-9610
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Fax | 210-531-3795
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E-4739
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License Number State | TX
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