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General NPI Number Information
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NPI Number | 1174828933
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Entity Type | Individual
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Provider Name | ERIN BOSWELL ROGERS MS, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 1775 MEMPHIS ST
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City | HERNANDO
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State | MS
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Zip | 38632-1703
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Country | US
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Telephone | 901-826-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 523 LORELL TER
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4115
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Country | US
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Telephone | 901-826-1560
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1309
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | GA
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