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General NPI Number Information
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NPI Number | 1952274540
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Entity Type | Individual
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Provider Name | CAROLINE B VOGT
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 800 E DAWSON ST
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City | TYLER
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State | TX
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Zip | 75701-2036
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Country | US
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Telephone | 903-593-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 JACKIE RAY
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City | WHITEHOUSE
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State | TX
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Zip | 75791-3907
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Country | US
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Telephone | 254-434-1253
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1213564
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License Number State | TX
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