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General NPI Number Information
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NPI Number | 1538310685
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Entity Type | Individual
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Provider Name | DARYN ROGERS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 15832 VENTURE LN
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-5732
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Country | US
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Telephone | 952-209-9200
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Fax | 952-209-9201
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Provider Business Mailing Address
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Address Line | 15832 VENTURE LN
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-5732
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Country | US
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Telephone | 952-209-9200
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Fax | 952-209-9201
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP6142
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License Number State | MN
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