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General NPI Number Information
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NPI Number | 1396169660
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Entity Type | Organization
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Legal Business Name | NICHOLAS A. ROGERS, MD INC
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 2502 S FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90007-2549
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Country | US
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Telephone | 213-747-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 2502 S FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90007-2549
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Country | US
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Telephone | 213-747-4391
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICHOLAS A ROGERS
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Credential | MD
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Telephone | 213-538-8995
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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 | A112189
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License Number State | CA
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