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General NPI Number Information
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NPI Number | 1063434470
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Entity Type | Individual
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Provider Name | CATHY ANN LEAKE ROGERS CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 1528 VICTORIA GREEN BLVD
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City | EVANSVILLE
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State | IN
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Zip | 47715-5986
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Country | US
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Telephone | 812-454-6029
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Fax |
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Provider Business Mailing Address
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Address Line | 2669 SCENIC DR
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8700
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Country | US
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Telephone | 575-443-7565
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 530355
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28151018A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10020234
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3572A
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2001018353
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | CRNA-66208
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License Number State | NM
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