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General NPI Number Information
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NPI Number | 1639157159
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Entity Type | Individual
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Provider Name | RIMANI KELSEY-ROGERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 300 W HOSPITAL RD MEB CLINIC (BLDG 40709)
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City | FORT GORDON
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State | GA
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Zip | 30905-5741
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Country | US
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Telephone | 706-787-2717
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Fax | 706-787-2202
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Provider Business Mailing Address
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Address Line | 3445 HAMLIN SQ SW
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City | ATLANTA
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State | GA
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Zip | 30331-7991
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Country | US
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Telephone | 404-678-9070
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Fax | 706-787-2202
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 051592
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License Number State | GA
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