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General NPI Number Information
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NPI Number | 1760543334
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Entity Type | Individual
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Provider Name | SHERRY ROGERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 04/12/2008
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Provider Practice Location Address
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Address Line | 2800 W GENESEE ST
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City | SYRACUSE
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State | NY
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Zip | 13219-1451
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Country | US
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Telephone | 315-488-2856
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 W GENESEE ST
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City | SYRACUSE
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State | NY
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Zip | 13219-1451
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Country | US
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Telephone |
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | MD 106787
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License Number State | NY
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