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General NPI Number Information
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NPI Number | 1457413981
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Entity Type | Individual
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Provider Name | STEPHANIE A ROGERS VIARS LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 245 S PETERS RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-5204
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Country | US
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Telephone | 865-394-8052
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Fax |
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Provider Business Mailing Address
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Address Line | 1063 POPLAR SPRINGS RD
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City | LOUDON
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State | TN
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Zip | 37774-4516
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Country | US
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Telephone | 865-394-8052
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1179
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 001179
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License Number State | TN
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