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General NPI Number Information
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NPI Number | 1124844105
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Entity Type | Individual
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Provider Name | KATHRYN ROGERS LSW
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 807 KINNEAR RD
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City | COLUMBUS
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State | OH
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Zip | 43212-1490
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Country | US
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Telephone | 614-687-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 ROADS END PL
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City | COLUMBUS
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State | OH
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Zip | 43209-2841
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Country | US
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Telephone | 614-561-1444
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2208217
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License Number State | OH
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