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General NPI Number Information
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NPI Number | 1437115540
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Entity Type | Individual
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Provider Name | DEBBY K ROGERS MSW-LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 500 POLK AVE
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City | GREENWOOD
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State | IN
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Zip | 46143-1628
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Country | US
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Telephone | 888-203-9499
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Fax | 812-988-8572
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Provider Business Mailing Address
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Address Line | PO BOX 104
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City | NASHVILLE
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State | IN
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Zip | 47448-0104
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Country | US
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Telephone | 888-203-9499
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Fax | 812-988-8572
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34005418A
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License Number State | IN
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