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General NPI Number Information
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NPI Number | 1508082520
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Entity Type | Organization
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Legal Business Name | VOGELZANG LTD
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 BREAKTHROUGH WAY 10441 W. TWAIN AVENUE
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City | LAS VEGAS
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State | NV
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Zip | 89135-3011
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Country | US
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Telephone | 702-822-5199
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Fax | 702-944-0451
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Provider Business Mailing Address
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Address Line | 1 BREAKTHROUGH WAY 10441 W. TWAIN AVENUE
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City | LAS VEGAS
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State | NV
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Zip | 89135-3011
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Country | US
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Telephone | 702-822-5199
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Fax | 702-944-0451
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Authorized Official
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Title or Position | DIRECTOR OF PHYSICIAN RELATIONS
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Name | MRS. EVELYN ROSE COKER
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Credential |
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Telephone | 702-822-5199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 11892
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License Number State | NV
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