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General NPI Number Information
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NPI Number | 1295998078
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Entity Type | Individual
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Provider Name | MATTHEW J ROGALSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1625 DIAMOND HILL RD
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City | WOONSOCKET
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State | RI
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Zip | 02895-1771
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Country | US
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Telephone | 401-762-1511
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Fax | 401-762-1609
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Provider Business Mailing Address
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Address Line | 26 JASONS GRANT DR
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City | CUMBERLAND
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State | RI
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Zip | 02864-1649
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Country | US
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Telephone | 401-441-9920
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 251925
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD13007
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 251925
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | MD13007
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License Number State | RI
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