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General NPI Number Information
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NPI Number | 1811222342
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Entity Type | Organization
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Legal Business Name | DONNA R B ROGERS PLLC
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 05/13/2023
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Provider Practice Location Address
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Address Line | 1140 HOLLY SPRINGS RD SUITE 207
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9634
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Country | US
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Telephone | 919-802-0312
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Fax |
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Provider Business Mailing Address
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Address Line | 3317 PROSPECT PKWY
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City | DURHAM
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State | NC
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Zip | 27703-8359
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Country | US
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Telephone | 702-374-3282
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Fax | 919-800-3060
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DONNA RB ROGERS
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Credential | PHD
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Telephone | 919-802-0312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4436
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License Number State | NC
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