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General NPI Number Information
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NPI Number | 1083501159
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Entity Type | Individual
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Provider Name | EMMA ROGERSON OD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 50 BURLINGTON MALL RD STE 114
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City | BURLINGTON
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State | MA
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Zip | 01803-4527
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Country | US
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Telephone | 781-229-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone | 703-847-8899
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Fax | 571-223-6780
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT8339
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License Number State | MA
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