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General NPI Number Information
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NPI Number | 1689662470
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Entity Type | Individual
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Provider Name | TRUDI EWING VOGEL DC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 1780 S NOVA RD STE 4
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City | SOUTH DAYTONA
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State | FL
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Zip | 32119-1777
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Country | US
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Telephone | 386-788-4778
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Fax | 386-788-8110
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Provider Business Mailing Address
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Address Line | 1780 S NOVA RD STE 4
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City | SOUTH DAYTONA
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State | FL
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Zip | 32119-1777
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Country | US
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Telephone | 386-788-4778
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Fax | 386-788-8110
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0006899
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License Number State | FL
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