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General NPI Number Information
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NPI Number | 1790501054
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Entity Type | Individual
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Provider Name | CHLOE FAITH ROGERS LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 3355 BEE CAVES RD STE 510
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6682
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Country | US
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Telephone | 512-710-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 4424 GAINES RANCH LOOP APT 234
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City | AUSTIN
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State | TX
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Zip | 78735-6494
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Country | US
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Telephone | 832-278-5531
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 108875
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License Number State | TX
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