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General NPI Number Information
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NPI Number | 1801526736
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Entity Type | Individual
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Provider Name | SAMANTHA JANE ROGERS MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 455 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-2759
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Country | US
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Telephone | 401-737-7010
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Fax | 401-736-4546
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Provider Business Mailing Address
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Address Line | 10 HEALTH LN FL 5
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City | WARWICK
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State | RI
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Zip | 02886-2875
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Country | US
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Telephone | 401-273-0641
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Fax | 401-273-2919
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD20827
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | LP05679
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License Number State | RI
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