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General NPI Number Information
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NPI Number | 1477815769
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Entity Type | Individual
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Provider Name | LINDSAY R. VOGEL A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 1717 W RIDGEWAY AVE
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City | WATERLOO
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State | IA
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Zip | 50701-4543
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Country | US
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Telephone | 319-833-5830
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Fax | 319-833-5831
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Provider Business Mailing Address
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Address Line | 1717 W RIDGEWAY AVE
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City | WATERLOO
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State | IA
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Zip | 50701-4543
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Country | US
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Telephone | 319-833-5830
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Fax | 319-833-5831
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | J111205
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License Number State | IA
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