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General NPI Number Information
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NPI Number | 1528311784
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Entity Type | Individual
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Provider Name | KEVIN MORROW FOGEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 08/17/2014
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Provider Practice Location Address
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Address Line | 3200 VINE ST MEDICAL SERVICE-TELE ICU
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City | CINCINNATI
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State | OH
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Zip | 45220-2213
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Country | US
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Telephone | 513-861-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 VINE ST MEDICAL SERVICE-TELE ICU
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City | CINCINNATI
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State | OH
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Zip | 45220-2213
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Country | US
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Telephone | 513-861-3100
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 45562
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 45562
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 45562
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License Number State | KY
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