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General NPI Number Information
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NPI Number | 1710114723
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Entity Type | Organization
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Legal Business Name | HOBBS-ROGERS ORGANIAZTION, LLC
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 9021 CHERRY RIDGE BLVD
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City | GREENWOOD
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State | LA
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Zip | 71033-3054
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Country | US
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Telephone | 877-684-1888
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Fax | 318-746-9977
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Provider Business Mailing Address
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Address Line | PO BOX 338
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City | GREENWOOD
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State | LA
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Zip | 71033-0338
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Country | US
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Telephone | 877-684-1888
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Fax | 318-746-9977
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Authorized Official
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Title or Position | OWNER
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Name | MR. GERALD RANDY ROGERS SR.
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Credential |
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Telephone | 318-218-9583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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