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General NPI Number Information
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NPI Number | 1649615378
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Entity Type | Individual
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Provider Name | MARY VOGEL OTR
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Gender | Female
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 11177 W 8TH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80215-5575
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Country | US
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Telephone | 303-462-6509
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 DOWNING ST APT. #2
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City | DENVER
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State | CO
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Zip | 80218-2126
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Country | US
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Telephone | 443-538-8007
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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 | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0003690
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License Number State | CO
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Taxonomy #3
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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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