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General NPI Number Information
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NPI Number | 1609546050
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Entity Type | Individual
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Provider Name | MICHAEL VOGEL OTR/L
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Gender | Male
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 530 BOGACHIEL WAY
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City | FORKS
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State | WA
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Zip | 98331-9120
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Country | US
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Telephone | 240-815-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 COBBLESTONE LN
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City | MOUNT AIRY
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State | MD
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Zip | 21771-5674
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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