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General NPI Number Information
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NPI Number | 1144679036
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Entity Type | Individual
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Provider Name | JOANNA ROGERS LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 2695 PATTERSON RD STE 2-117
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8814
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Country | US
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Telephone | 970-478-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 2695 PATTERSON RD STE 2-117
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8814
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Country | US
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Telephone |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-17072
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License Number State | AZ
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