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General NPI Number Information
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NPI Number | 1508838772
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Entity Type | Individual
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Provider Name | CHRISTOPHER RODGERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 601 OBERLIN RD
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City | RALEIGH
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State | NC
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Zip | 27605-1126
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Country | US
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Telephone | 919-789-4322
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Fax | 919-789-4533
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Provider Business Mailing Address
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Address Line | 2920 HIGHWOODS BLVD
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City | RALEIGH
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State | NC
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Zip | 27604-0010
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-19701
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2017022370
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2017-01841
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License Number State | NC
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