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General NPI Number Information
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NPI Number | 1174817563
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Entity Type | Individual
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Provider Name | REGINA ANN ROGERS NP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1447 N HARRISON ST NICU
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City | SAGINAW
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State | MI
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Zip | 48602
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Country | US
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Telephone | 989-583-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 6133 SOUTHAMPTON CT
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City | FORT WAYNE
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State | IN
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Zip | 46814-3275
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Country | US
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Telephone | 260-615-4989
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 1180384
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 4704420790
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | APRN.CNP.0037680
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 71003359A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 71003359A
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License Number State | IN
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