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General NPI Number Information
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NPI Number | 1093912693
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Entity Type | Individual
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Provider Name | AIMEE ELISE ROGERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 3001 ST ANTHONY WAY
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City | PENDLETON
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State | OR
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Zip | 97801
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Country | US
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Telephone | 541-278-0535
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Fax | 541-966-0574
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Provider Business Mailing Address
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Address Line | 2801 ST ANTHONY WAY
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City | PENDLETON
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State | OR
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Zip | 97801-3800
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Country | US
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Telephone | 541-966-0535
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Fax | 541-966-0574
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 01072434A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 01072434A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD179156
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License Number State | OR
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