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General NPI Number Information
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NPI Number | 1043251010
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Entity Type | Individual
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Provider Name | STEPHANIE DAGOSTINO ROGERS PT, DPT, MPST, MPS G
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 713 W WADE HAMPTON BLVD
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City | GREER
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State | SC
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Zip | 29650-1307
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Country | US
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Telephone | 864-479-6084
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Fax | 864-479-6091
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP029334T
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0254571
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | P10998
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | SC
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