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General NPI Number Information
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NPI Number | 1962711044
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Entity Type | Individual
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Provider Name | DEBORAH J VOGEL PT
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Gender | Female
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 700 CORPORATE BLVD WILLCARE
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City | NEWBURGH
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State | NY
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Zip | 12550-6416
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Country | US
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Telephone | 845-561-3655
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 668 13-21 PINE TREE RD
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City | GLEN WILD
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State | NY
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Zip | 12738-0668
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Country | US
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Telephone | 845-436-7983
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 005173
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 013923L
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License Number State | PA
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