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General NPI Number Information
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NPI Number | 1073628525
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Entity Type | Individual
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Provider Name | SCOTT G ROGERS LMLP, LCP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 610 E GRANT AVE
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City | GREENSBURG
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State | KS
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Zip | 67054-2708
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Country | US
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Telephone | 620-723-2272
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Fax | 620-723-3450
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Provider Business Mailing Address
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Address Line | 216 E 21ST ST
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City | LARNED
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State | KS
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Zip | 67550-1407
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Country | US
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Telephone | 620-285-7256
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LMLP 0120
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LCP 062
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License Number State | KS
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