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NPI Code Detail

MEDICARE: RICHARD RODGERS

MEDICARE:   RICHARD  RODGERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2171W00000XContractor
3174200000XMeals Provider
4251E00000XHome Health Agency
5324500000XSubstance Abuse Rehabilitation Facility
6374U00000XHome Health Aide

General Provider Information

NPI Number : 1073267100
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD RODGERS
Provider Business Mailing Address
First Line : 9706 BEXLEY FARMS DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-4901
Country : US
Telephone Number : 804-433-5112
Fax Number :
Provider Business Practice Location Address
First Line : 6513 IRON BRIDGE PL
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-5300
Country : US
Telephone Number : 804-433-5112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2022
Last Update Date : 05/14/2025

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Directions to “ RICHARD RODGERS ” Practice Location

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