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General NPI Number Information
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NPI Number | 1033831821
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Entity Type | Individual
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Provider Name | KRISTEN ROGERS DDS
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 1075 CENTRAL PARK AVE STE 207
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City | SCARSDALE
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State | NY
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Zip | 10583-3250
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Country | US
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Telephone | 914-472-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 22 NORTHGATE CIR
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City | MELVILLE
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State | NY
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Zip | 11747-3037
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Country | US
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Telephone | 516-312-6411
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN24394
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 24394
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 062800
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License Number State | NY
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