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General NPI Number Information
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NPI Number | 1609014638
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Entity Type | Organization
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Legal Business Name | DONZA J. ROGERS, M.D., P.L.L.C.
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 221 W COLORADO BLVD SUITE 216
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 214-941-6691
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Fax | 214-941-0437
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Provider Business Mailing Address
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Address Line | 221 W COLORADO BLVD SUITE 216
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 214-941-6691
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Fax | 214-941-0437
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. DONZA ROGERS
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Credential | M.D.
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Telephone | 214-941-6691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M4482
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License Number State | TX
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