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General NPI Number Information
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NPI Number | 1649904947
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Entity Type | Individual
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Provider Name | KIMBERLY ANN ROGERS MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 4695 E NORTHFIELD DR
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City | BROWNSBURG
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State | IN
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Zip | 46112-1784
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Country | US
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Telephone | 317-294-5242
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Fax |
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Provider Business Mailing Address
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Address Line | 1144 DAWSON ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-2014
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Country | US
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Telephone | 317-586-0208
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22008110A
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License Number State | IN
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