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General NPI Number Information
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NPI Number | 1457837585
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Entity Type | Individual
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Provider Name | CHANTEL ROGIER MS, ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 798 DAVIS ST
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City | MOODY AFB
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State | GA
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Zip | 31699-8422
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Country | US
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Telephone | 214-930-8749
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Fax |
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Provider Business Mailing Address
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Address Line | 1607 CYPRESS POINT DR
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City | LAWRENCE
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State | KS
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Zip | 66047-1722
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL6060
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License Number State | FL
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