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General NPI Number Information
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NPI Number | 1275893612
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Entity Type | Individual
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Provider Name | DEBORAH ANN ROGERS LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/19/2012
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Last Update Date | 09/20/2020
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Provider Practice Location Address
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Address Line | 1813 W HARVARD AVE STE 427
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City | ROSEBURG
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State | OR
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Zip | 97471
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Country | US
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Telephone | 541-817-5326
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Fax | 800-864-2539
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Provider Business Mailing Address
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Address Line | 1813 W HARVARD AVE STE 427
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City | ROSEBURG
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State | OR
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Zip | 97471-8712
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Country | US
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Telephone | 541-817-5326
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Fax | 800-864-2539
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH 60275886
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License Number State | WA
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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 | PCO P 933
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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