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General NPI Number Information
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NPI Number | 1639032147
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Entity Type | Individual
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Provider Name | MELANIE ROGERS PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 800 S WASHINGTON AVE
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City | SAGINAW
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State | MI
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Zip | 48601-2551
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Country | US
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Telephone | 989-907-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 4677 TOWNE CENTRE RD
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City | SAGINAW
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State | MI
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Zip | 48604-2846
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Country | US
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Telephone | 248-904-5859
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 5601013420
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601013420
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License Number State | MI
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