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General NPI Number Information
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NPI Number | 1821956541
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Entity Type | Organization
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Legal Business Name | STEPHEN J. VANGEL JR, PH.D., PLLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3756 ELLISIA RD
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-1724
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Country | US
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Telephone | 248-842-2930
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Fax | 248-565-2482
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Provider Business Mailing Address
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Address Line | 3756 ELLISIA RD
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-1724
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Country | US
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Telephone | 248-842-2930
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Fax | 248-565-2482
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Authorized Official
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Title or Position | MANAGER
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Name | DR. STEPHEN JAMES VANGEL JR.
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Credential | PH.D.
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Telephone | 248-842-2930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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