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General NPI Number Information
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NPI Number | 1326290479
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Entity Type | Individual
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Provider Name | KRISTINE K ROGERS ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 601 5TH ST S SUITE 306
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-767-8402
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Fax | 727-767-4399
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Provider Business Mailing Address
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Address Line | 601 5TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-767-3556
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Fax | 727-767-4923
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP 2524792
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License Number State | FL
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