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General NPI Number Information
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NPI Number | 1033589544
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Entity Type | Individual
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Provider Name | KATHERINE EUGENIA ROGERS NP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2015
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 4615 PHILIPS HWY STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32207-9539
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Country | US
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Telephone | 904-508-0710
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Fax | 855-299-7010
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Provider Business Mailing Address
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Address Line | DEPT. #394 P.O. BOX 1000
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 941-366-0134
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Fax | 941-404-0176
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9272329
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License Number State | FL
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