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General NPI Number Information
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NPI Number | 1689633760
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Entity Type | Individual
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Provider Name | KENNETH FRANKLIN RODGERS MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1000 W KINGSHIGHWAY STE 9
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City | PARAGOULD
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State | AR
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Zip | 72450-4197
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Country | US
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Telephone | 870-236-2202
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Fax | 870-236-8428
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Provider Business Mailing Address
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Address Line | 1000 W KINGSHIGHWAY STE 9
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City | PARAGOULD
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State | AR
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Zip | 72450-4197
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Country | US
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Telephone | 870-236-2202
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Fax | 870-236-8428
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C-7528
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C-7528
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C7528
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License Number State | AR
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