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General NPI Number Information
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NPI Number | 1467004010
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Entity Type | Individual
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Provider Name | ALLISON DENISE ROGERS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/14/2019
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1980 HOLTON AVE E STE 204
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City | BIG STONE GAP
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State | VA
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Zip | 24219-3367
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Country | US
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Telephone | 276-523-8828
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Fax | 276-523-8829
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024175468
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 23387
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License Number State | TN
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