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General NPI Number Information
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NPI Number | 1093954497
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Entity Type | Individual
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Provider Name | ALEXANDRA E ROGERS MD
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Gender | Female
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 300 EXEMPLA CIR
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City | LAFAYETTE
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State | CO
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Zip | 80026-3397
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Country | US
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Telephone | 303-325-8703
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Fax | 303-325-8704
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Provider Business Mailing Address
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Address Line | PO BOX 62106
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City | SANTA BARBARA
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State | CA
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Zip | 93160-2106
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Country | US
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Telephone | 805-681-1761
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | C55033
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 68918
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License Number State | CO
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