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General NPI Number Information
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NPI Number | 1487833653
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Entity Type | Organization
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Legal Business Name | ROBERT J. ROGERS,DC, PC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 1439 W STATE ST
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City | BELDING
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State | MI
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Zip | 48809-9288
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Country | US
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Telephone | 616-794-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1439 W STATE ST
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City | BELDING
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State | MI
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Zip | 48809-9288
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Country | US
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Telephone | 616-794-3100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT J ROGERS
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Credential | DC
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Telephone | 616-794-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301002939
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License Number State | MI
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