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General NPI Number Information
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NPI Number | 1770699829
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Entity Type | Individual
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Provider Name | JEFFREY S ROGERS DO
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 4160 LITTLE YORK ROAD SUITE 10
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City | DAYTON
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State | OH
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Zip | 45414-5803
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Country | US
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Telephone | 937-415-9100
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Fax | 937-415-9191
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Provider Business Mailing Address
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Address Line | PO BOX 713130
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City | CINCINNATI
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State | OH
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Zip | 45271-0001
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Country | US
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Telephone | 937-415-9100
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Fax | 937-415-9191
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34006038
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 34006038
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License Number State | OH
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