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NPI 1760670764

NPI 1760670764 : KRISTIN K. VOGEL P.A. : NORTON, KS

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General NPI Number Information
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    NPI Number           |    1760670764
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTIN K. VOGEL P.A.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/04/2007
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    Last Update Date     |    10/04/2007
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Provider Practice Location Address
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    Address Line         |    711 N NORTON AVE 
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    City                 |    NORTON
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    State                |    KS
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    Zip                  |    67654-1449
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    Country              |    US
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    Telephone            |    785-877-3305
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    Fax                  |    785-877-3646
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Provider Business Mailing Address
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    Address Line         |    711 N NORTON AVE PO BOX 250
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    City                 |    NORTON
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    State                |    KS
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    Zip                  |    67654-1449
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    Country              |    US
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    Telephone            |    785-877-3305
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    Fax                  |    785-877-3646
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    T-01599
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    License Number State |    KS
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