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General NPI Number Information
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NPI Number | 1235809823
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Entity Type | Individual
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Provider Name | HALEY KRISTINE ROGERS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 506 GOLDEN ST STE 120
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City | CALHAN
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State | CO
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Zip | 80808-8727
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Country | US
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Telephone | 719-347-2399
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Fax | 719-471-4415
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Provider Business Mailing Address
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Address Line | 6410 BLACK RIDGE VW APT 307
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-4444
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Country | US
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Telephone | 919-323-7560
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0017936
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License Number State | CO
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