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General NPI Number Information
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NPI Number | 1720762180
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Entity Type | Organization
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Legal Business Name | ROGALS HEALTH CARE INC
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 508 N LONG BEACH BLVD STE C
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City | COMPTON
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State | CA
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Zip | 90221-2221
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Country | US
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Telephone | 310-955-0508
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Fax |
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Provider Business Mailing Address
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Address Line | 704 WALNUT ST APT 9
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City | INGLEWOOD
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State | CA
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Zip | 90301-3386
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Country | US
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Telephone | 310-955-0508
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NNENNA EKEJIUBA
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Credential | NP
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Telephone | 310-955-0508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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