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General NPI Number Information
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NPI Number | 1518098516
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Entity Type | Individual
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Provider Name | DR. JOHN PATRICK VOGEL
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 433 METAIRIE RD SUITE #220
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City | METAIRIE
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State | LA
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Zip | 70005-4333
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Country | US
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Telephone | 504-833-5773
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Fax | 504-837-8812
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Provider Business Mailing Address
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Address Line | 193 W OAKRIDGE PARK
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City | METAIRIE
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State | LA
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Zip | 70005-4020
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Country | US
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Telephone | 504-833-5773
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Fax | 504-837-8812
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 454
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License Number State | LA
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