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General NPI Number Information
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NPI Number | 1134504426
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Entity Type | Individual
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Provider Name | SIOBAIN KAY ROGERS MSN, FNP-C, CCRN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 85 IH 10 N STE 112
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City | BEAUMONT
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State | TX
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Zip | 77707-2560
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Country | US
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Telephone | 409-239-5139
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Fax | 409-347-8856
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Provider Business Mailing Address
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Address Line | 538 BROADWAY
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City | WINNIE
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State | TX
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Zip | 77665-7600
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Country | US
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Telephone | 409-296-6000
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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 | 204428
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R45403
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 781923
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP130283
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License Number State | TX
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