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General NPI Number Information
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NPI Number | 1811217029
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Entity Type | Individual
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Provider Name | DANELLE LADAWN VOGEL LMT, MMP
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Gender | Female
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 5940 W UNION HILLS DR SUITE A-140
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City | GLENDALE
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State | AZ
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Zip | 85308-1308
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Country | US
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Telephone | 602-866-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 6331 W HEARN RD
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City | GLENDALE
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State | AZ
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Zip | 85306-3823
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Country | US
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Telephone | 623-261-5516
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT01654P
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License Number State | AZ
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