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General NPI Number Information
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NPI Number | 1447148895
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Entity Type | Individual
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Provider Name | VALERIE R RODGERS
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Gender | Female
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1 CAMINO ORO CT
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City | TIJERAS
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State | NM
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Zip | 87059-7924
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Country | US
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Telephone | 505-274-8534
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Fax | 855-610-2330
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Provider Business Mailing Address
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Address Line | 1803 N MISSOURI AVE
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City | ROSWELL
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State | NM
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Zip | 88201-3346
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Country | US
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Telephone | 575-404-6391
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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