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General NPI Number Information
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NPI Number | 1508912155
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Entity Type | Organization
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Legal Business Name | MARK P. VOGEL, PH.D AND ASSOCIATES
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 60 MIDLAND DR
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City | NORWICH
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State | NY
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Zip | 13815-1947
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Country | US
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Telephone | 607-336-9914
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Fax | 607-334-4881
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Provider Business Mailing Address
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Address Line | 60 MIDLAND DR
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City | NORWICH
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State | NY
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Zip | 13815-1947
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Country | US
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Telephone | 607-336-9914
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Fax | 607-334-4881
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MARK P VOGEL
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Credential | PH.D.
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Telephone | 607-336-9914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 006122
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License Number State | NY
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