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General NPI Number Information
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NPI Number | 1568098432
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Entity Type | Individual
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Provider Name | NICOLE T VOGUS
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1300 OXFORD DR STE 1100
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City | BETHEL PARK
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State | PA
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Zip | 15102-1800
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Country | US
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Telephone | 412-347-3240
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26506-1200
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 105737
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP021511
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License Number State | PA
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