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General NPI Number Information
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NPI Number | 1174226658
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Entity Type | Organization
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Legal Business Name | ANIKA RODGERS I, PLLC
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 1125 AVENUE OF THE OAKS UNIT 101
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City | SPARKS
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State | NV
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Zip | 89431-4913
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Country | US
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Telephone | 775-446-4380
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Fax |
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Provider Business Mailing Address
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Address Line | 255 GLENDALE AVE STE 3
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City | SPARKS
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State | NV
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Zip | 89431-5777
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Country | US
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Telephone | 775-636-9939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANIKA RODGERS
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Credential | DDS
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Telephone | 775-636-9939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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