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General NPI Number Information
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NPI Number | 1407915192
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Entity Type | Individual
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Provider Name | KARA ELIZABETH ROGERS LICENSED COUNSELOR
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 WILSON RD
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-4433
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Country | US
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Telephone | 770-506-9575
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Fax | 770-506-9369
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Provider Business Mailing Address
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Address Line | 21 BEVERLY CIR
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City | HAMPTON
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State | GA
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Zip | 30228-3014
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Country | US
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Telephone | 770-707-1391
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Fax | 770-707-1391
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC002661
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License Number State | GA
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