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General NPI Number Information
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NPI Number | 1053292300
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Entity Type | Organization
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Legal Business Name | ROGERS HOME MEDICAL
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | PO BOX 3670
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City | VICTORIA
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State | TX
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Zip | 77903-3670
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Country | US
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Telephone | 361-576-6599
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Fax | 361-578-3521
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Provider Business Mailing Address
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Address Line | 4404 N LAURENT ST STE B
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City | VICTORIA
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State | TX
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Zip | 77901-2742
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Country | US
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Telephone | 361-576-6599
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Fax | 361-576-6599
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Authorized Official
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Title or Position | BUSINESS DEVELOPMENT MANAGER
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Name | MR. WILSON ROGERS
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Credential |
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Telephone | 361-576-6599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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