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General NPI Number Information
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NPI Number | 1588172340
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Entity Type | Individual
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Provider Name | MARC A ROGOL BSN, RN, CEN, MICN
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Gender | Male
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Dates
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Enumeration Date | 01/15/2018
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 106 CARNIE BLVD
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City | VOORHEES
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State | NJ
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Zip | 08043-4515
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Country | US
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Telephone | 856-581-7500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8056
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City | TRENTON
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State | NJ
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Zip | 08650-0056
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 26NR15462600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN694575
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN694575
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 26NR15462600
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR15462600
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 26NR15462600
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN694575
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License Number State | PA
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