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General NPI Number Information
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NPI Number | 1740204676
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Entity Type | Individual
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Provider Name | GINGER ROGERS MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 VETERANS AVE
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City | BILOXI
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State | MS
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Zip | 39531-2410
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Country | US
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Telephone | 228-523-5000
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Fax | 228-523-4342
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Provider Business Mailing Address
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Address Line | 1324 BEACH BLVD
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City | BILOXI
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State | MS
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Zip | 39530-3527
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Country | US
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Telephone | 228-341-7574
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 042411
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License Number State | GA
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