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General NPI Number Information
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NPI Number | 1174514301
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Entity Type | Individual
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Provider Name | CHARLOTTE M. ROGERS L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 11/05/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1325 QUINCY ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2615
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Country | US
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Telephone | 202-526-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 20508 BARGENE WAY
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City | GERMANTOWN
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State | MD
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Zip | 20874-1157
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Country | US
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Telephone | 301-972-3651
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | PRC1352
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License Number State | DC
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