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General NPI Number Information
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NPI Number | 1336171628
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Entity Type | Individual
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Provider Name | MARISA A ROGERS MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 5246 CHAMBERLAYNE RD
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City | RICHMOND
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State | VA
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Zip | 23227-2950
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Country | US
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Telephone | 804-913-7029
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746722
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City | ATLANTA
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State | GA
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Zip | 30374-6722
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Country | US
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Telephone | 312-733-9730
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Fax | 773-866-8014
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD17508
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 88073
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.42370
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD421609
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101273755
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License Number State | VA
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