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General NPI Number Information
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NPI Number | 1841469129
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Entity Type | Individual
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Provider Name | RICHARD M VOGEL MFT
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Gender | Male
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 04/21/2016
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Provider Practice Location Address
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Address Line | 23547 MOULTON PKWY SUITE 209
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1947
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Country | US
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Telephone | 949-690-6846
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Fax | 949-581-4420
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Provider Business Mailing Address
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Address Line | 4010 CALLE SONORA OESTE UNIT 2A
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-3292
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Country | US
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Telephone | 949-830-8165
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Fax | 949-581-4420
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | M15007
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License Number State | CA
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