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General NPI Number Information
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NPI Number | 1033611751
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Entity Type | Individual
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Provider Name | JEFFREY A. RODGERS
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Gender | Male
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 1660 SO. COLUMBIAN WAY SVA PROSTHETICS (S-121-PSAS)
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-277-4033
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 SO. COLUMBIAN WAY SVA PROSTHETICS (S-121-PSAS)
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone |
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | PS60034066
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License Number State | WA
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