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General NPI Number Information
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NPI Number | 1295671691
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Entity Type | Organization
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Legal Business Name | ROGERS MEDICAL GROUP LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 605 HIGHWAY 57 W
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City | GRAND JUNCTION
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State | TN
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Zip | 38039-4447
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Country | US
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Telephone | 662-231-2243
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Fax |
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Provider Business Mailing Address
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Address Line | 1603 CAPITOL AVE STE 415 #443913
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City | CHEYENNE
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State | WY
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Zip | 82001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | WHITLEY ROGERS
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Credential | NP
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Telephone | 662-231-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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