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General NPI Number Information
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NPI Number | 1184226318
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Entity Type | Organization
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Legal Business Name | DR JAMES M ROGAN P.C.
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 3127 LENOX RD NE APT 4
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City | ATLANTA
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State | GA
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Zip | 30324-6028
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Country | US
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Telephone | 404-788-2966
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Fax |
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Provider Business Mailing Address
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Address Line | 3127 LENOX RD NE APT 4
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City | ATLANTA
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State | GA
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Zip | 30324-6028
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Country | US
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Telephone | 404-788-2966
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE MANGER
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Name | DANA STEVENSON
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Credential |
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Telephone | 478-338-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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