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General NPI Number Information
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NPI Number | 1861643496
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Entity Type | Organization
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Legal Business Name | K.E. VOGEL, M.D., AMC
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 200 W ESPLANADE AVE SUITE 303
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City | KENNER
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State | LA
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Zip | 70065-2489
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Country | US
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Telephone | 504-472-5263
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Fax | 504-464-0353
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Provider Business Mailing Address
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Address Line | 200 W ESPLANADE AVE SUITE 303
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City | KENNER
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State | LA
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Zip | 70065-2489
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Country | US
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Telephone | 504-472-5263
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Fax | 504-464-0353
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH E VOGEL
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Credential | M.D.
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Telephone | 504-472-5263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 008882
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License Number State | LA
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