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General NPI Number Information
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NPI Number | 1396105136
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Entity Type | Organization
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Legal Business Name | ROGERS HEARING HEALTHCARE, INC
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3901 HARDY ST STE 100
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City | HATTIESBURG
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State | MS
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Zip | 39402-1696
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Country | US
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Telephone | 601-261-5995
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Fax | 601-261-5335
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Provider Business Mailing Address
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Address Line | PO BOX 17167
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City | HATTIESBURG
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State | MS
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Zip | 39404-7167
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Country | US
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Telephone | 601-261-5995
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Fax | 601-261-5335
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | STEPHANIE JACKSON ROGERS
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Credential | MA,CCC-A, FAAA
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Telephone | 601-261-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 1021A
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 4535
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | A3163
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License Number State | MS
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