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General NPI Number Information
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NPI Number | 1659460210
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Entity Type | Individual
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Provider Name | ELEANOR MARY VOGT R.PH.,PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3333 CALIFORNIA ST 420E
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1981
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Country | US
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Telephone | 415-502-7515
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Fax | 415-502-0792
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Provider Business Mailing Address
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Address Line | 1998 BROADWAY # 902
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-2281
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Country | US
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Telephone | 415-502-7515
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Fax | 415-502-0792
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7622-040
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License Number State | WI
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