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General NPI Number Information
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NPI Number | 1396791836
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Entity Type | Organization
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Legal Business Name | CHRISTINE M ROGERS PT INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/08/2008
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Provider Practice Location Address
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Address Line | 460 ENA RD 607
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City | HONOLULU
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State | HI
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Zip | 96815-1779
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Country | US
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Telephone | 808-942-8922
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Fax | 808-942-8922
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Provider Business Mailing Address
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Address Line | PO BOX 62183
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City | HONOLULU
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State | HI
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Zip | 96839-2183
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Country | US
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Telephone | 808-942-8922
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Fax | 808-942-8922
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHRISTINE M ROGERS
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Credential | P.T.
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Telephone | 808-942-8922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT995
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License Number State | HI
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