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General NPI Number Information
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NPI Number | 1780730796
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Entity Type | Individual
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Provider Name | GARY D VOGIN MD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 8200 FLOURTOWN AVE STE 6
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City | WYNDMOOR
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State | PA
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Zip | 19038-7969
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Country | US
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Telephone | 215-233-1555
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Fax | 215-233-0308
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Provider Business Mailing Address
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Address Line | 3495 PIEDMONT RD NE NINE PIEDMONT CENTER
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City | ATLANTA
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State | GA
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Zip | 30305-1717
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Country | US
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Telephone | 404-364-7070
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Fax | 770-888-6698
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 039259
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License Number State | GA
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