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General NPI Number Information
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NPI Number | 1578492823
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Entity Type | Individual
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Provider Name | DR. KATIE DARNELL RODGERS
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 101 PARKGATE DR
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City | TUPELO
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State | MS
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Zip | 38801-3033
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Country | US
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Telephone | 662-302-3806
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Fax |
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Provider Business Mailing Address
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Address Line | 148 ROCK CREEK DR
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City | TUPELO
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State | MS
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Zip | 38801-6022
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Country | US
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Telephone | 662-871-9497
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MS
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