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General NPI Number Information
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NPI Number | 1093366478
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Entity Type | Individual
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Provider Name | SVETLANA ROGERS RN, NP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 9894 E 121ST ST
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City | FISHERS
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State | IN
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Zip | 46037-4154
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Country | US
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Telephone | 317-621-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 11020 GRESHAM PL
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City | NOBLESVILLE
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State | IN
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Zip | 46060-7037
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Country | US
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Telephone | 317-918-9593
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71009984A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28207693A
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License Number State | IN
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