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General NPI Number Information
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NPI Number | 1073422507
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Entity Type | Individual
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Provider Name | ALEXIS DEANN ROGERS NP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 5977 STEWART PKWY
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-2371
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Country | US
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Telephone | 770-942-5575
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Fax | 470-539-8557
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Provider Business Mailing Address
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Address Line | 1816 MORNING GLORY LN NE
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City | ATLANTA
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State | GA
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Zip | 30324-4284
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Country | US
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Telephone | 678-361-1619
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-NP290712
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License Number State | GA
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