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General NPI Number Information
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NPI Number | 1447402029
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Entity Type | Individual
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Provider Name | MARIANN ROGERS SLP
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Gender | Female
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 1380 RIVER BEND DR
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City | DALLAS
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State | TX
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Zip | 75247-4914
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Country | US
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Telephone | 214-743-6159
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Fax | 214-689-6482
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Provider Business Mailing Address
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Address Line | 1319 CHESTERTON DR
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City | RICHARDSON
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State | TX
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Zip | 75080-2802
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Country | US
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Telephone | 972-238-1085
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Fax | 972-490-9058
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 13193
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License Number State | TX
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